HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I Z I A)Unoo Gionj ')5)ermit Number: O
C4AG
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Building Permit Application JUL 12 2017
Planning and Development services SCANNED F EAR 1.41171 NG
Building and Code Regulation Division BY Si. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commerci CisCDUn tY Residential
PERMIT APPLICATION FOR: Renovation III
Address: 8750 S Ocean Drive, #1033, Jensen Beach, FL 34957
Legal Description: ISLAND DUNES CONDOMINIUM A UNIT 1033 AXIA ADMIRAL
Property Tax ID #: 3535-601-0051-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
:DETAILED DESCRIPTION OFWORK:
Right Side: Left Side:
Lot No.
Block No.
Kitchen Renovation- Remove Kitchen Cabinets & Counter Tops (Save Counter Tops to Reinstall).
Repair any drywall damage and paint. Install New Kitchen Cabinets with the Same Footprint.
Reinstall existing Counter Tops and Sink. Plumb Existing Sink and Faucet.
I.,CONSTRUCTION INFORMATIOW .
AclamonalworKtODeDertormed under
tispermit—check
a apply:
11HVAC Gas Tank
❑Gas Piping
_ Shutters
❑ Windows/Doors
11 Electric ✓❑_
❑Sprinklers
E
E]
Plumbing
Generator
Roof
Total Sq. Ft of Construction: 124 sf
S . Ft. of First Floor:
Cost of Construction: $ 22,450.00
Utilities:Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Grace Tyler
Name: Nathan Cooke
Address:19 Coralburst Ln
Company: Cooke Construction, Inc
City: Scarbourough State: ME
Zip Code: 04074 Fax:
Phone No.772-650-0938
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772530-0659
E-Mail: htyler@madne.rr.com
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: nate@000keconshucUoninc.com
State or County License: CGC1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,SUPPLEMENTAL'CONSTRUCTION LIEN LAW INFORMATION: .
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
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 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 vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF //<< ' I l/I
The for Lng instrument was acknowledged before me
this =dayofy 20-L>-by
(Name of person acknowledging)
(Signature of Notary Publice orida )
Personally Known V �OR Produced Identification
TypWoo�en i�ication Produce j - - - - - - - - --
Commission No. GV Z
Revised 07/15/2014
STATE OF FLOR
COUNTYOF w vl
The for oing instrument was acknowledged before me
this day of 20 by
(Name of person acknowledging)
(Signature of Notary Public St of froricia )
`' OR Produced Identification
*AL IIR D PAYNE 1 / �Aoall
WALTER D PAYNE
IaL Public State of ICalm ission No. vy WABJ)Public State of
Commission a GG 24 67 ' Commission a GG 2
•_
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
R VIE
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
& I 1
INITIALS