HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
- 17 )unoO al Hj--IS
A9 S�.6(RIF�'ber:
OANNVOS BY
St. Lucie County
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 Commercial
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S OCEAN DR 1508
Legal Description: EMPRESS CONDOMINIUM UNITS 1508, 1509 AND UNIT G-27
Property Tax ID #: 4502-620-0116-000-3
Site Plan Name:
Project Name:
Setbacks Fr
Back: Right Side: LeftSide:
DETAILED DESCRIPTION OF WORK:
1706- a 6SP
a tE71)
JUN 3 0 2017
Residential
3789-291
x
Lot No.
Block No.
MasterBath-Install new vanity and top with new sinks and faucet. Relocate vanity light to center on sink. Install
new can lights in soffit above vanity. Install new shower pan and tub. Install new shower valve and tub valve.
Install new tile. Laundry -Install new washer supply box. Media room- Install new lights in recess lights in soffit
and outlet in wall for TV. Install Vinyl flooring in master bed, bath, laundry, closet and media room.
CONSTRUCTION INFORMATION:
itiona worktonfIrtormea unclerthispermit—check
all
apply:
E1HVAC —Gas Tank
❑Gas Piping
❑Windows/Doors
ZElectric 0 Plumbing
_Shutters
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 2,804
Sq��Ft.I
of First Floor:
Cost of Construction: $ 75,000.00
Utilities:
nSewer 1:1 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Tal John Rancourt (TR) Darlene M S Rancourt JR)
Name: Nathan Cooke
Address:19 Cloverleaf BYP
Company: Cooke Construction, Inc
City: Lake Placid State: FL
Zip Code: 33852 Fax:
Phone No.1-863-699-1082
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: schieran@outiook.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 tliat 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
_ Signature of Owner/ Lessee/Agent
signature or Contractor/License Homer
STATE OF FLORID��1
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STATE OF FLORIQ� /.
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The for ' instrument was acknowledge before me
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The forgq(ng instrument was acknowledged before me
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this%Z�dayof 20%by
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(Name of per on a dgin
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(Signature of Notary Publ to of Florida)
(Signature of Notary Public- ay of Florida )
Pr ovally Knowq OR Produced Identification
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Type of Identification Produced
Type of Identification Produced
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Commission No. / (Seal)
ommission No. (Seal)
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Commission s,GG24467 1. Commssion,x,GG 24467
Revised 07/15/2014 ,� •� M camm E% nes Au--2 2ozo - q, - a: -M comm Expires au 25; 2020
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