HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ( W6`
SCANNED
..S'—.-l'c :9 e,'-'`-`-- ----'_ BY RECEIVED
`� ST LUCIE COUN , MAR 12.1018
Building Permii Application
Planning and Development Services Permitting Department
Building and Code Regulation Division
St WdeCounty
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: �II
Address: 8600 S. Ocean Drive, Unit #703, Jensen Beach, FL. M957
Legal Description: REGENCY ISLAND DUNES TWO UNIT 703 (OR 3733-762)
Property Tax ID #: 3534-502-0033-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Renovation Master Bath: Remove Shower Valve, Toilet (Save to Reuse). Remove Vanity & Top, Flooring, Shower Pan & Wail Tile to
Studs. Install New Shower Valve (Same Location) Remove Vanity Lights & Install Recess LED Lights. Repair any Drywall Damage.
Install New Wedi Shower Pan & Walls (Same Drain Location) Tile Walls & Floor within Shower Area. Install Dry Floor Tile, Vanity &
Top, Plumb New Shut -Off Valves, Sinks & Faucets (Same Location) Install Saved Toilet (Same Location). Paint Walls & Trim.
CONSTRUCTION INFORMATION: III
E1HVAC UGas Tank
ZElectric ❑✓_Plumbing
OGas
PipingUShutters
Sprinklers
❑Windows/Doors
1:1Generator Roof
Total Sq. Ft of Construction: 145 sgft
Cost of Construction: $ 20,000.00
S Ft. of First Floor:
Utilities: 11Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RobertP Rank Pamela K Rank
Name: Nathan Cooke
Address: 8600 S Ocean DR Apt 703 _ —
.Company:-Cooke.Gonstructiori f Inc-
City: Jensen Beach State: F�
Zip Code: 34957 Fax:
Phone No.772-919-2397
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: Robertprank@cs.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 $250D or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIONLIENLAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you. intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/ Lessee/Agent
Signature
STATE OF FLORW STATE OF FLORIQ�
COUNTYOF �P t✓� COUNTYOF /!/� �t1
The fo��rg�gqing instru ent was acknowledge efore me
this Relay of 0' 20 _by
PersonalLv Known V _ OR Produced Identification
of
WALTER D
Commission No.
s
Revised 07/15/2014
The for�]yyoing instrument was acknowledged before me
this gayof Mr- rc-k, 20 i$ by
NJ ,o.,„ C—D�zc_'-
(Name of personackno a gi n
Florida )
OR Produced Identification
Commission
D PAYNE-11
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