HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: �\ s 11�� Permit Number: I1I t'0 `35
RECEIV_ SEP 15 2017
-- -- _--- - SCANNED
Building Permit Application aY
Planning and Development Services
Building and Code Regulation Division St. Lucie Countv
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Renovation III
PROPOSED IMPROVEMENT LOCATION: ` ' III
Address: 9600 S OCEAN DR 9405, Jensen Beach, FL. 34957
Legal Description: EMPRESS CONDOMINIUM UNIT 405 (OR 4005-2547)
Property Tax ID #: 4502-620-0023-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK
Kitchen: Lower sink wall (pass thru), Install recess Lighting, New Cabinetry and Counter Tops. Relocate switches or outlets as
needed. Plumb sink and faucet. Repair Drywall disturbed in renovation. Master Bath: Remove existing shower to enlarge closet
and convert existing Tub to Shower. Relocate switches or outlets as needed. Plumb New Shower Valve, New Toilet, Install New
Cabinetry, Plumb New Vanity Sinks & Faucets. Repair Drywall as needed. Remove existing flooring, install New Vinyl Flooring
(Thru-Out), Install New Baseboard and repair any drywall disturbed in renovation.
CONSTRUCTION INFORMATION:
11HVAC LJGas Tank
❑✓—Electric ❑✓_Plumbing
Total Sq. Ft of Construction: 1500sf
Cost of Construction: $ 60,000.00
Gas Piping U Shutters ❑ Windows/Doors
Sprinklers 13Generator Roof
S Ft. of First Floor:
UtilitiesSewer[]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Haring Linda Haring
Name: Nathan Cooke
Address:4100 NE 25th Ave
Company: Cooke Construction, Inc
City: Fort Lauderdale, State: FL
Zip Code: 333085705 Fax:
Phone No. 954-465-3466
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772530-0659
E-Mail: Lbbb4@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: nate@cookeconstruciioninc.com
State or County License: CGC1520586
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 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 attprney before
commencing work or recording vo>'ir Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
s
Signature of Contractor/License Holder
STATE OF FLORIpA STATE OF FLORID►
COUNTY OF �. i W COUNTY OF //i'/lvt✓\,
The for ing instrument was acknowledged before me The forging instrument was acknowledged before me
this 1daylof 20 Eby this K daay,of S b/� .20 11'� by
lc oA— �° R��. C / 0Cl2 r
(Name of person acknowledging ) _ (Name of person acknowledging)
Personally Known V C
Type of Identification Produi
Commission No. GG Z y
Revised 07/15/2014
WALTER D PAYNE II
tRAWic - State of F
National
ature of Notary
nally Known _
of Identification
nission No. Gc
D PAYNE II
Comm. Explies Aug 25.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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COMPLETE
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INITIALS