HomeMy WebLinkAboutReineke Permit Application_000373All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit A plication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Pax: (772) 462-1578
Commercial x - Residential
PERMIT APPLICATION FOR:
Island Kitchen & Bath
Address: 9550 S Ocean Dr. unit 1506 Jensen Beach Fl, 34957
P roperty Tax I[
Site Plan NaME
Project Name:
New Electrical Meter_ Second Electrical Meter
Additional work tolDe performed under this permit —check all that apply:
—Mechanical
uric
Gas Tank
m b i n g
—Gas Piping
— Sprinklers
Total Sq. Ft of Construction:
COst of Construction: $ 0 �0
Name Nikki K Reineke
Address: 9550 S Ocean Dr
City: Jensen Beach
F1 State:
Zip Code: 34957 Fax:
Phone NJ199347386
E-Mail: nreineke24@grT)aii.com
Shutters
Generator
Sq, Ft. of First Floor:
Winclows/Doors Pond
Utilities: _Sewer _Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Roof Pitch
Building Height: __"
Name: Justin Thiery
Corlipany._Island Kitchen & Batyh
Address: 10875 S Ocean thrive
City-, JensenBeach
Zip Code: 34957 Fax:
Phone No 772-237-7348
E-Mail ikb . pm - assistant@g mail, com
State or County License (-BC1 259508
IT vaiue OT construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required,
State: F!
Name:
Address:—,-----,---
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:----
City:
Zip: Phone:_
MORTGAGE COMPANY- Not Applicable
Name:
Address:
City:
State:
Zip:._..-....__,_. Phone:__
BONDING COMPANY:
Name:
Address:
0 ty:_
zip: _ Phone:
--Not Applicable
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 applicableHome Owners Association rules, bylaws or ancovenants 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 paying twice for
improvements to your property, A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice Of Commencement.
recording ............. . ......... . Notice ....... ..... . .. 1_.__.__ �
N,
Signat e o Owner/ Lessee/C ht�ractor as Agent or weer
STATE OF Fkfg*"
COUNTY OF 4
Sworn jo (or affirmed) and subscribed before me of
P-15hysical Presence or Online Notarization
this of e -_ & by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced -
(Signature OTW61_ry_Public- State of Florida
Commission No,
(Seal)
Sig re Co�ntractorjl_ic7ens�eHol
STATE OF FLORIDA
COUNTY 0 F-st 1—j-_
Sworn to for affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this day of�'�-
2 0 2A b y
Justin TNeri
Name of person making statement.
Personally Known x OR Produced identification
Type of Identification
Produced
�/o MICHAEL RAAZ
Commlssion#GG318620
Expires July 28, 2023
:Signature
f ur tary Public- State "6'rhor;d`7',
CommXissiNo. (Seal)
REVIEWS
FRONT ZONING
1 COUNTER REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
I SEATURTLE
REVIEW
1 MANGROVE
REVIEW
. . ... . . . ..........
RECEIVED
`rev:
Rev. ';7-�fm