HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
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 X Residential
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 8600 S. Ocean Drive #705, Jensen Beach, FL. 34957
Legal Description: REGENCY ISLAND DUNES TWO UNIT 705 (OR 3985-1147)
Property Tax ID #: 3534-502-0035-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
one,
Rametns n Same Lorallon)
Drywall Damage h every mom S ftnt
Remove CebheS,
3(h & ftk , wnMy
Install New Snower Valve (Same
a, Shka S F.wh (Same Well)
CONSTRUCTION INFORMATION: III
L IHVAC L_( Gas Tank UGas Piping
Electric ❑✓_ Plumbing Sprinklers
Total Sq. Ft of Construction: 1800 sgft
Cost of Construction: $ 80,000.00
Shutters ❑ Windows/Doors
Generator 1-1 Roof
S Ft. of First Floor: _
Utilities:Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Roger S Smith Judith P Smith
Name: Nathan Cooke
Address: 9624 N Lamplighter LN
Company: Cooke Construction, Inc
City: Mequon State: WI
Zip Code: 53092-5321 Fax:
Phone No.1-262-302-0635
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: jpsmith615@gmail.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.
s-
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 TITLEHOLDER: _ 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 of Contractor/License Holder
STATE OF FLORI�� !r STATE OF FLORI
COUNTY OF ry i(� COUNTY OFF !�/ h
The fc rggqing mstru nt wa acknowledged before me
this ZZL�day of r : 20 ✓Eby
(Name of person acknowledging)
Signature of Notary Public- State of orida )
Personallyo Knn /Yl OR Produced Identification
Type of Identifrcati n oduced
Commission No. L9L7 Y /W,,%` -(be.
..VAL7ERD PAYNE-II
;+°. u•`�=; Notary Public - State of FI
n • • : - mi93f9e-�6B-2+hii
.- �M Com m.,Ne�a.Auug „2i;5Revised07/15/2014 %;,;R°Motlrhinrnn.r—,.,.
The fo�r���QQing instrum t wa acknowledged before me
this 019ay of / F 20 IS by
N'ilLl�
(Name of person acknowledging)
S g ature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type—o ^Identificati/'nr duced
commission No. 66 Z4y�' /_ JSeal)
WALTER D PAYNE-11
Commission N GG'24467
My Comm. Expires Aug H. 2020
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
® 0
INITIALS