HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETEDF'0P4 !pjiLN BE ACCEPTED
Date: 11/12/17 argNNEp Permit Number: n i 1— d305 _
BY Nov I-�os7 RECEIVED
St. Lucie COu • flry pERN11TTGJG
--- -- - St. Lucie County, FL
Building Permit Applicati n
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
NOV 13 2017
Permitting Department
RS1mLW9-*q>County, FL_
PERMIT APPLICATION FOR: Renovation 0
PROPOSEDIMPROVEMENT LOCATION:
Address: 8650 S Ocean Drive #904 Jensen Beach, FI.34957
Legal Description: Regency Island DunesBuilding 1 unft904 (or4040-585)
Property Tax ID #: 3534-501-0046-000-1
Site Plan Name:
Project Name: MacNider interior remodel
Setbacks Front Back: -
ON OF
Right Side: Left Side:
Lot No.
Block No.
Remove necessary drywall and bath tile walls for plumbers and electricians to update plumbing valves
and light fixtures / Tile flooring / cabinetry and interior paint.
CONSTRUCTION INFORMATION:
rtiona wor to e e orme under
11HVAC E] Gas Tank
tispermit—checka
[:]Gas Piping
apply.
❑
_Shutters
Windows/Doors
EElectric 0 Plumbing
Sprinklers
1:1 Generator
1:1 Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 125,000.00
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR-,
Name Charles 8 Katherine MacNider
Name: Ed Gribben
Address:435 N Shore Drive
Company: Gribben Construction
City: Clear Lake State:lA
Zip Code: 50428-1374 Fax:
Phone No.641-201-0357
Address: 6118 SE Federal Hwy
City: Stuart State:Fl
Zip Code: 34997 Fax: 772-286-2072
Phone No. 772-288-6330
E-Mail:cmacnider@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: dave@gribbenconstruction.com
State or County License: CGC1507879
it vanie aT construction is lL7uu or more, aR6CUKUEU Notice of Commencement is required.
SUPPLEMENTALCONSTRUCfION LIEN LAW INFORMATION:
DESIGNERIENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: _NotApplicable
Name:
Address:
City: State:_
Zip: Phone
Address:
City: State:_
Zip: Phone:
FEE SIMPLE TITLEHOLDER. _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
city:
Address:
Ci:
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 Count makes no representation that is granting a pwmit illl alorize thegermit holder to build the subjectsstmcurcture
which is In Son Ictwith any applicable Home Owners Assoaa an m as, by aws or an covenants that may restrict or pruhihitsuch
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 full eoncurrancy 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
eommeneine work-drrrhrardinr<vour g6tTc�)of Commencement. �1
Sign/aiture of Owner/ Lessee/t ntract'pIr''as for Owner
Signature of Contractor/Ucense Holder
"A""g''��ent
STATE OF
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OUNTYOFSTATE OF ORIDAMAf?'t
COUNTYOFORID
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The fo Ing Instrument was. cknowledg d before me
this dayaf/�iD.JQMIk .2042hy
The f r oing inst mentw cim wiedg d before me
this daytof� t ti �+� .20 by
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Name of pers99DP making statement
Name of parson making statement
Personally Known �(J_ OR Produced identification_
Personally Known OR Produced Identification.
of Identificatiooffii
Type of Identiiicati n
,Type
Produced
Produced'
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(Signatureof No "'! rardt1g6s
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Commisslan No. M:�^°• awMIhv TnrFfS� 80a7a5•TOfs
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
_
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW _
DATE
•$' n
RECEIVED
DATE
COMPLETED
Rev.8/2/17