HomeMy WebLinkAboutBUILDING PERMIT APPLICATION18095-Miller
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ;2 -
SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application MAR 10 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Renovation 11A III
Address: 8650 S Ocean Dr unit 306, Jensen Beach, FL. 34957
Legal Description: Regency Island Dunes Building 1 Unit 306
PropertyTax ID #: 3534-501-0012-000-4
Site Plan Name:
Project Name: 1 I 1 \ \ G\
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Master Bath Remodel, Demo, Framing (Minimal), Plumbing, Electric, Drywall, Cabinets, Tops, Etc.
0 Plumbing
Windows/Doors
11 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $18,500 Utilities:tSewer E]Septic Building Height:
s
.,. ,
...a
yONTRACOR
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-Name: Justin -Avery: - _ . -
Address: �$ U 50 5 -O C ezt-\
O'\ • 3010
Company: Island Kitchen and Bath
_City: _S e.X_\6CY\ bCQAQ t'\
Zip Code: .54q 5, Fax:
Phone No. 310- 0 Z -G I ,�R
State: IFL
Address: 10875 S. Ocean Drive
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-237-7348 772-678-8219
E-Mail: A-\Mz> 1 Q QkQk . UXI-\
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: jthieryikb@gmail.com, nblaszkaikb@gmail.com
State or County License: CBC1259508
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name: Westin Thmy
Address:
Address:
City:
Zip: Phone
State:
City: Jensenaeaa State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
BONDING COMPANY: —Not Applicable
Name:
Address: 0-a, Dave
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
commerW!ng work or recording our Notice of Commencement.
a"O�z �&&'
Sign ture of Owner/ Lesse /Contractor as Agent for Owner
igntof Co tr for/License Holder
STATE OF FLORJJ�AiVOU/NTnY
COUNTY OF —TV I (t.v
F FLOR+
OF,n-t
d t
The forgoing instrument was acknowledg?o before me
The korgoing instrument was acknowledgedPj733fore me
V-nr,,� V�by
this _(_jq day of 20by
this day of 20
Name of person making statement
Name of pemaking statement
rso
Personally Known OR Produced IdentcationDLi
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of c- State of Florida)
u¢� MICHAEL RAAZ
u ary Public
(Signat- ate of Florida )
' n No. SV�60 MISSIONAFF904140
__
Commission_No AA��``
_- MYCOIJRj�51tlNSFF904j40
XPIRES.Juty28;
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@���OFF�°�t BcndedThm Budget Nc Bervkm
EXPIRES: July 28,2019
�+�„� °aP� BondedThry Budget Ndhry Be�vica
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ZONING
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Rev.8/2/17