HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMP LETED FOR APPLICATION TO BE ACCEPTED
Date: 7/1012017
Permit Number: v) 01 — 0 \41 -S
LW-0 RECEIVED JUL 112017
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Divisi . on
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR: Alteration I -,;I III
PROPOSED IMPROVEMENT LOCATION:
Address: 10410 S Ocean Drive. Apt 1102, PH3, Jensen Beach, FL 34957
Legal Description:
Property Tax ID #: 4511-514-00?1�000-1
Site Plan Name:
Project Name: Goode Residence
Setbacks Front Back: _ Right Side: Left Side:
Lot No.
Block,No.
I DETAILED DESCRIPTION OF WORK: III
Remodel, including electrical updates, plumbing updates, duct repair, Replace showers and tub,
sinks, remove and rebuild staircase, arfd=���s.
I CONSTRUCTION INFORMATION: Ill.
11HVAC Li Gas Tank E]Gas Piping UShutters
RjElectric Z Plumbing [:]Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: 2500 Sq. Ft- of First Floor: 1300
Cost of Construction: $ 45,000 Utilitiesl] Sewer 0 Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameAlan L Goode
Name: Michael Roberts
Address: 10410 S Ocean Drive, PH3
Company: Special Forces
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.734-476-8583
Address: 1235 NE Dixie Hwy
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-334-2990
E-Mail: ALLANLGOODE@GMAILCOM
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E-Mail: colonel@speCialforcesus.com
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable
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
commencinR workor recording your Notice of Commencement.
Sikn�L�of wner/Lessee/Contractor as Agent for Owner
Silfnatijre of Contraaor/License Holder
STATE OF FLORIDA
C a-Kh
STATE OF FLORI��,_ r;47
COUNTY v-1
COUNTY OF 1;
The ing instrumqnt was acknowledged before me
Ifflay,of
The forgoing instruTnt was acknowledged before me
this 201 by
i _2_
this ID dal J�4, Ly 201
1 _I by
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida
(Signature of Notary Public- State of Florida
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Pe so all fication
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Revised 07/15/2014
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