HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I n, Imo_ SCANNED Permit Number: I I l J
BY
F'" St. Lucie County RECEIVED
Building Permit Application NOV 0 6 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERNI ITTING
St. Lucie County, FL
Commercial x Residential
PERMIT APPLICATION FOR: Renovation III
Address: 9940 S OCEAN DR
Legal Description: OCEANA OCEANFRONT
Property Tax ID #: 4502-502-0095-000-6
Site Plan Name:
Project Name:
ONE APT 908 AND .7875 PERCENT INT IN
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Remove and replace all Drywall in Both Bathrooms and Kitchen. Install new Shower Valves and
Shower Pans in Bathrooms. Replace Existing Fluorescent Lighting in Kitchen with recessed Lighting.
Install a dedicated Electrical Circuit for Microwave. Install GFCI protected outlets in Both Bathrooms
and Kitchen as reauired by Code.
rAuurawnd1WUl&wun enunncu ununI uua pennu—cnecn do apply:
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11HVAC Gas Tank E]GasPip ing _Shutters Windows/Doors
ZElectric 21 Plumbing ❑Sprinklers 1:1Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 8000.00 Utilities:ZSewer Septic Building Height:
OWNERly ESSEE
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CONTR"i� CTiOR:
Name Moana Management
Name: Tod Batson
Address:3 Palmetto Drive
Company: MOANA MANAGEMENT
City: Stuart State: FL
Zip Code: 34996 Fax:
Phone No.954-553-1778
Address: 3 Palmetto Drive
City: Stuart State: FL
Zip Code: 34996 Fax:
Phone No. 772-828-9855
E-Mail: Robyn.batson@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: todbatson@gmail.com
State or County License: COUNTY 30310
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
ZS,, Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Not Applicable
BONDING COMPANY:
_ of Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 our Notice of Commencement. If
Signatu a of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIQqA
I.vci
STATE OF FLORIDA
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COUNTY OF •Si- c,
COUNTYOF .S kuck c_'
The forgoing instrument was acknowledged before me
The forgoing instru entw�s acknowledged before me
this Z day of VoQr'tiI er 20� by
this�dayof ove . cr 20J_9_ by
C1
OR
Name of persp making statement
Personally Known OR Produced Identifi
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Name of person making statement
Personally Known � OR Produced Identifiicat
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CA
Type of Identification
o
Type of Identification
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Produced
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Produced
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(Signature of Notary Public -State of Florida)
(Signature of Notary Public -State of Florida)
Commission No.66�- 113 ff a (Seal)
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Commission No. ir�r I 3 (Seal)
a:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17