HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: I a U `( -Q 3(0
BY
St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services APR 1.2 2010
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residentiit- Lucie county
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S Ocean Drive #1031, Jensen Beach, FL. 34957
Legal Description:
Property Tax ID #: 3535-601-0049-000- (Federal Judge) Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Block No.
I DETAILED DESCRIPTION OF WORK;. III
Guest Bath Renovation: Remove Shower Walls and Pan, Toilet, Flooring, Vanity and Top. Install
Shower Valve (Same Location) Tile Walls within Shower Area. Repair and Drywall Damage. Install
Floor Tile in Bathroom. Install New Vanity and Top. Plumb New Sink and Faucet (Same Location)
Install New Toilet (Same Location) Paint Walls and Trim.
CONSTRUCTION INFORMATION:
itiona wor to e e orme un
ert ispermit—c ec
a
apply:
11HVAC [1 Gas Tank
❑Gas Piping
Shutters
❑ Windows/Doors
11 ❑✓_
_
Electric Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 50sgft
SFt
of First Floor:
Cost of Construction: $ 25,000.00
Utilities:
Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David and Maryann Jubanowsky
Name: Nathan Cooke
Address:8750 S Ocean Drive 91031
Company: Cooke Construction, Inc
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: Majubanowsky@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: nate@cookeconstmctioninc.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 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
STATE OF FLORID,STATE OF FLORIDA,�/�
COUNTY OF // /�✓ y ✓� COUNTY OF �`!� trX
The forgoing instrument wits acknowledged before me
this /r day of A&I / 20 6—by
Personally Known
Type of Identification Pr
Commission No. GG
Revised 07/15/2014
Produced Identification
wALTER D PAYNE
(49* Public - State of
Commission. a.GG 2:
The forgoing instrum t was cknowledged before me
this /% day of �f 20 / gby
(Name of person acknowledging_
(Sifrnature of Notary Public- State
Personally Known 0 Prc
1T e of Identification Pro / dd
mission No. G6 z7 I o
Identification
D PAYNE-
State of
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