HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE (INFO MUST BE COMPLETED _FOR APPLICATION TO BE ACCEPTED / o
Date: 7 I' I9 SCANNED Permit![on
7
_ BY
ELLAV
St. Lucie County
Building Permit Applicat APR 12019
Planning and Development Services itting Department
Building and Code Regulation Division2300VirginiaAvenue,FortPierceFL34982 Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Renovation III
Address: 4115 S. Indian River Drive, Fort Pierce, FL. 34982
Legal Description: 35 35 40 S 120 FT OF N 860 FT OFE 1/2 OF NE 1/4-LESS RD AND RR- (8) (OR 1533-1014)
Property Tax ID #: 2435-113-0001-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Kitchen:(Same Footprint) Replace Existing 2 Ceiling Lights with recess LED lights. & add 1 recess LED
light @ wine area & add under cabinet GFI outlets per code and design. Plumb sink & faucet (same
location) Replace window with new impact rated as per design (same location) Install new Cabinets, tops
& vinyl floor. Repair any drywall damage & paint.
uw uu l IQ WUTA w uc en UI II ICU uuuo MIN FIcn I IIL —ld
OHVP _ Gas Tank ❑Gas Piping
Z✓ Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: 240 sgft
Cost of Construction: $ 45,700.00
j.DBI, aPPiY:
Shutters Windows/Doors
Generator Roof
S Ft. of First Floor: _
Utilities: Sewer �Septic
Building Height:
`.p, w,$
CONTi2A OR T+ k¢ .
Name Clark and Sylvia Hodges
Name: Nathan Cooke
Address:4116 s. Indian River Drive
Company: Cooke Construction, Inc
City: Fri. Pierce
Zip Code: 34982 Fax:
Phone No. 772-332-6471
State: FL
Address: 1276 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: sylviahodgesOgmail.com
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: CGC1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,P _6 E � AL GONSi'RUCTION LIEN-lA1M INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip:—__ Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORID 11 ee
COUNTY OF.�V,,-
The for&i`fng instrument w!s cknowledged bb fore me
this day of v^• 20 1by
person
Type
Commission No.
Revised 07/15/2014
STATE OF FLORIDA `�/L✓T` COUNTY OF/` ✓%�
The forgo instrument was a knowledged before me
this Jday of �e 20 L9, by
(Name of person acknowledgin
SSA—�
ida) (Signature of llotary_Public- State nda )
sonally Kno OR Produced Identification
WALTER OPAvtaE-tt T e of entifi roduce
7Qow Public —5tat�ufrtIuri a / , N
!t C9��nnmission # GG 24467 t- GsV Zy . ;/�E. a Lary Public -Slate of
Nry� M. Expires Aug 25. 2 26 mission No. !?e Q ommission # GG 2
Bonded Waugh National Notary A sn. My Comm. Expires Aug 1
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