HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE N[FOO M� 5T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number.
'--= - - SCANNED
Building Permit Application BY
Planning and Development Services St. LUCie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Renovation III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 8650 S Ocean Drive, #705, Jensen Beach, FL. 34957
Legal Description: REGENCY ISLAND DUNES BUILDING 1 UNIT 705 (OR 1482-2195; 3468-2310)
Property Tax ID #: 3534-501-0035-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: LeftSide:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: IIII
Remove existing kitchen cabinets, counter top and floor. Install new cabinets, counter tops, and
floor.
Install new recessed can lighting. Plumb new sink.
CONSTRUCTION INFORMATION:
AT itiona wor to e e orme under
tispermit—Checka
apply:
EIHVAC OGasTank
E]GasPiping
_Shutters
❑Windows/Doors
Z✓ Electric 0 Plumbing
❑Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 200sf
Sq.
Ft. of First Floor:
Cost of Construction: $ 30,000.00
Utilities: LLlSewer
ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Johanna Banicki
Name: Nathan Cooke
Address:200 Stonebrook Ct
Company: Cooke Construction, Inc
City: Royal Oak State: MI
Zip Code: 48067 Fax:
Phone No.248.755.4331
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: kbanicki@tectest.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 LAW 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 Count 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
—Signature of Owner/ Lessee/Agent
STATE OF FLORID/+ h
COUNTY OF �5YY��
The forgoing instrument wa¢ acknowledged efore me
this 17 day of �C.'atZ 20 1 by
V,-+k"N CooL-c--
(Name of person acknowledging )
(Signature of Notary Public- S €of Florida I
Personally Known k- OR Produced Identification
Type of Identification Produced
Commission No. 66 :� yy
—Revised 07/ 15/2014
REVIEWS I FRONT I ZONING
COUNTER REVIEW
COMPLETE
INITIALS
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STATE OF FLORIDA I
COUNTYOF %�i�<'4b F1
The for oing instrument was acknowledged before me
this 1ldayof Dc{-obe-- 20 /(. by
Nam--1.4. CobLxz.
(Name of person acknowledging)
(Signature of-Notary(Signature ftlblicfAfate of Florida j
Personally Known L— OR Produced Identification
Type of Identification Produced — gw
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ion No. G G z7 c%6 -io `�$e9tary Public - Slate of
wAr.! Ir a vnv E u _ Commission # GG 2
Notary PuDuc State I Florida ;g� Per My Comm. Expires Aug 1
ommissio •• Bonde through
My Comm. Expires Aug 25, Z020
Bonded through National Notary Assn.
SUPERVISTURTANGRO
REVIEWOR I REV EW I PNSVREV EWEGETATION I SE EV EWLE I MREV EWVE