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HomeMy WebLinkAboutBuilding Permit Application3 APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. a� �ga 3 , Permit Number: 1�4o [LualEW OR y ��c�►�I:� 1 9Q7—TOW ? WBuilding ~~ Permit Application MAR 2 2Q22 Planning and Development Services St' p.,mittttln9 Building and Code Regulation Division Commercial x Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 46271578 PERMIT APPLICATION FOR: REMODEL PROPOSED IMPROVEMENT LOCATION: Address: 8880 S. OCEAN DR JENSEN; BEACH FL 34957 UNIT 306 Properly Tax ID #: 3535-602-0020-000=6 Lot No. Site Plan Name: ISLAND DUNES OCEANSIDE CONDOMINUM I Block No. Project Name: FABY DETAILED DESCRIPTION OF WORK: COMPLETE REMODEL: KITCHEN, BATHS, FLOORING AND DRYWALL New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed ;under this permit — check all that apply: _Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond A Electric 4. Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 1485 Cost of Construction: $ 95,000.00: Sq. Ft. of First Floor: Utilities: —Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name DON FABY Name: ROBERT HELMSORIG Address: 8880 S. OCEAN DR UNIT 306 Company: RENOVATION TECHNOLOGIES INC City: JENSEN BEACH State: _ Address: 22220 CRANBROOK RD Zip Code: 34957 Fax: City: BOCA RATON State: FL Phone No. 617-817-0152 Zip Code: 33428 Fax: E-Mail: DJFABY@lCLOUD.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 If value of construction is 2500 on more, a RECORDED Notice of Commencement is required. If value of HAVC 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:_ Address: City: _ Zip: Phone State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: Name: Address: City —State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 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 lencAT or.an attorney before commencing work or rei ording your Notice of Commencement. 'Signature of Owne / Lessee/Contractor 4ZAgt for Owner S gnature of Contract r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Presence or ' Online Notarization x Physical Presence or Online Notarization this 15 day of MARCH 2O20 by this 15 day of MARCH . 2020 by ROBERT HELMSORIG ROBERT HELMSORIG Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- Sta • • �lotary public State of FI rig6' I nature of Notary Public- State of Florida ) commission # HH 0284 HH 0yyZuFt, . $ell Comm. Expires Aug 5, Commission No. , f y through National Nota 2 0 4�/µt al) RONALD JAMES NAR � mission Not ©2�/•Z A R `v': BorCed Notary Public - State o Commission N HH 0 oc ... y Comm. Expires Aug REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA1101rl OrdaQprgjjktWhloi REVIEW COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20