HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
, �.) SCANNED
Date: j ��3 L �J
BY Permit Number:
r, ST LUCIE COUNTY
Building Permit Application
Planning and Development Services MAR - 8 2018
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
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S OCEAN DR 632, JENSEN BEACH, FL. 34957
Legal Description: ISLAND DUNES CONDOMINIUM A UNIT 632 A/K/A ADMIRAL CONDOMINIUM (OR 1818-2014)
Property Tax ID #: 3535-601-0026-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
IGicnen Rere Wn: Remove
Fooring.. Relocate e,N inc
TM.
Remove
Top, Flooring,
i, New Vanity
CONSTRUCTION INFORMATION: III
UndI WUrx LU Ue
HVAC
Electric
Per7UrTneU UWer
Gas Tank
❑✓_ Plumbing
Ln 15
permIL—CneCK all apply:
Gas Piping _Shutters ❑
Sprinklers 1:1 Generator 0
Windows/Doors
Roof
Total Sq. Ft of Construction: 260 sgft
Cost of Construction: $ 62,000.00
S Ft. of First Floor: _
Utilities: Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 1196425 Ontario Limited
Name: Nathan Cooke
Address:234 Springmount PL
-Company:-Cooke Construction, -Inc_
-City: Kitchener State: ON
Zip Code: N2A 3V5 CANADA Fax:
Phone No. 519-572-4559
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: rwagner3182@rogers.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 thedpermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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 FLORIJ��1 STATE OF FLORI[�jjj
COUNTYOF `!/u ✓� COUNTYOF ��yu14,yy
The fooing instrument was acknowledged before me
this dayof /4w'�k 20 /-by
(Name of person acknowledging) 117
(Signature of Notary Public- State of F16-rida )
Personally Know OR Produced Identification
Type of Identific n Produced
The foroing instrument was acknowledged before me
this l day of X4, el, 20 f 0 by
(Name of person acknowledging)
iKature of Notary Public- ate of Florida
Personally Kno OR Produced Identification
Type of Identification Produced
Commission No. V V s WALTER-D-PAYNE-O— — mmission No.. u V �-ZI e
>Ge - -- — ' - — — ay'ey WALTER D PAY;
— ��• `�, Notary Public - State of Flar Notary Public -State
• • . •_ ommission
Revised 07/15/2014 '"� A`,c My Comm. Expires Aug 25:2020 __ _ _- _ - ",r A? My Comm. Expiidi A6
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