HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: IWAer+ /�l,� ) . P/ Permit Number:
�11�• 05103
DEC 21 2021
Building Permit Application
Planningand Development Services St. Lucie County
P Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT TYPE: Remodel
PROPOSED, IMPROVEMENT LOCATION'
Address: 9600 S. Ocean DR Jensen Beach FL 34957 Unit 1403
Property Tax ID #: 4502-503-0057-000-1
Site Plan Name: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 603
Project Name: Weber
:DETAILED DESCRIPTION;OFWORK
Overall remodel of unit, Kitchen, Baths, Flooring, Electric and Plumbing
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
'?"—"Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1100 Sq. Ft. of First Floor:
Cost of Construction: $ 65000.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE,!, ` ` " ;;' "'
`,CONTRACTOR:
Name Jason Weber
Name: Robert Helmsorig
Address: 9900 S. Ocean DR Jensen Beach FL 34957 Unit 609
Company: Renovation Technologies
City: Jensen Beach State: ,r/
Address: 21569 Batter Park Terrace
Zip Code: 34957 Fax:
City: Boca Raton State: FL
Phone No. 561-635-3733
Zip Code: 33428 Fax:
E-Mail: jweber@rick-strategies.com
Phone No 954-632-0698
Fill in fee simple Title Holder on next page (if different
E-Mail renovationtechinc@yahoo.com
from the Owner listed above)
State or County License CGC1522634
rc value or construction is >c5uu or more, a r LLUJI IJ Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit•holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
INTH YOUR WNDIER OR -AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
r
'signature of Owne / Lessee/Contractor as gent for Owner
Signature of Con ac or/License Holder
STATE OF FLORIDA ((
COUNTY OF S"I L1�C I_
STATE OF FLORIDA
54 L06 C_
COUNTY OF
The forgoing instrument was acknowledged before me
The fo oing instrument was acknowledged before me
this V day of �G>Ce W1 b ems; 20 ZI by
this day of DeCe"WV_ , 20 Z/ by
_F-pbet-k 44-_IwlSor1 e,
20byir-4 `I�ely►-►S�,,r)
Name of person making statement.t
Name of person making statement.
Personally Known OR Produced Identification
Personally Known _ OR Produced Identification
Type of Identificati n
Type of Identification
Produced
Produced
ignature of Notary Public- n aR pALD DAMES NARBUTAS
ig ature of Not ry Public-
i°• ' Notary Public -State of Florid
Commission No. D Z�/ ys: (SE*mission k HH 028442
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: RONALDJAMESNARBUTAS
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` N r blic - State of Florida
ommission No. iNf/D Z
` �sion
,oa rti�' My Comm. Expires Aug S, 202
Bonded through National Notary Ass
# HH 028442
''•�� ' My Comm. Expires Aug 5, 2024
.
REVIEWS
FRONT'
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///19