HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC B E INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I� r
Date: Permit Number: aJ6
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Renovation
':PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 8600 S Ocean DR # LPH4 Jensen Beach, FL 34957-2100
Legal Description: REGENCY ISLAND DUNES TWO UNIT LPH-4 (OR 3973-1313)
Property Tax ID #: 3534-502-0064-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: ,
Lot No.
Block No.
Master Bath: Install & Plumb New Tub & Filler. Install and Plumb New Shower Valve. Install Recess Lighting in Soffit. Relocate Electric Wall light for
Sconces. Install New Cabinetry & Counter Top. Plumb New (2) Vanity Sinks & Faucets and Plumb Toilet. Guest Bath: Install & Plumb New Shower Valve.
Install Recess Lighting in Soffit. Install New Cabinetry & Counter Top, Plumb New Vanity Sink & Faucet. Plumb Toilet. Hall Bath: Install and Plumb New
Shower Valve. Install Recess Lighting in Soffit. Install New Cabinetry and Counter Top. Plumb New Vanity Sink and Faucet. Plumb Toilet. Kitchen:
Reduce Wall at Entry on Left, Relocate any Electrical. Install Recess Lighting in Soffit. Install Pendant Lighting. Install New Cabinetry and Counter Tops,
Plumb New Kitchen Sink and Faucet.
CONSTRUCTION INFORMATION:
ACIClitional work to je ne orme under tis permit—checka apply:
E1HVAC L__I Gas Tank Gas Piping ri / _ Shutters Windows n Doors
L�l
Electric Z Plumbing Sprinklers � Generator F]Roof
Total Sq. Ft of Construction: 1,900 sf
Cost of Construction: $ 75,000.00
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Frank A Reilly Gail Reilly
Name: Nathan Cooke
Address: 8600 S Ocean DR # LPH4
City: Jensen Beach State: FL
Zip Code: 34957-2100 Fax:
Phone No. 1-732-995-0571
Company: Cooke Construction, Inc
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: farsr@comcast.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Nate@Cookeconstructioninc.com
State or County License: GCC1520585
IT value oT construction is ,SZ5UU or more, a RECORDED Notice of Commencement is required.
�.SUPPLEMENTAL CONSTRUCTION LI.EN.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:
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 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. -.1'
—Signature of Owner/
Signature of
STATE OF FLORIW STATE OF FLOI��A
COUNTY OF"`a✓� ✓i COUNTY OF /l/�y�
The forging instrument was acknowledged before me
thisZlf day of k1l 20 17 by
a'4A" ,. C,"a kze
(Name of
(Signature of Notary Public- State of Florida )
�
Personally Known OR Produced Identification
Type of Identification Produced — — — — — —
Commission No.G6 2— L/
Revised 07/15/2014
Holder
The forgging instrument was acknowledged before me
this day of 20 by
Vv�-•T��� �o
(Name of person acknowledging)
(Si6Wture of Notary Public- of Florida )
Personally Known OR Produced Identification
Lwm&ef Identification Produced _ _
WAu ttl U VAYNt II /+ �•
Lary Public - State of Flgft -ssion No. �
Commission # GG 2,1467
Comm. Expires Aug 5. 2020
�c I LTER D PAYNE II
Not�f�l ublic - State of Flori
Commission # GG 24467
National Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
S 2�
INITIALS
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