HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IINNF-O, (MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � 7. r Jl(1 SCANNED Permit Number: _ I U O s- /� )
�_� __ BY =RECEIVEDleiJim- FlImbi St. Lucie County
Building Permit ApplicationPlanning and Development ServicesBuilding 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 III
Address: 9950 S OCEAN DR 1803
Legal Description: MIRAMAR ROYALE UNIT 1803 (OR 1004-686: 1355-2052)
Property Tax ID #: 4502-703-0079-000-5
Site Plan Name: Fink
Project Name: Fink
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Bathroom remodel to include; Demo, Plumbing, Electrical, Drywall, Tile, Cabinets, tops, etc.
PUU I UU1101 WUlR LU Ul el IUl IIICU u I IUC11111] hC1r11 It—Gr
LIHVAC Gas Tank ❑Gas Piping
Z✓ Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 8,500
Generator
Sq� FFtt.I of First Floor: _
Utilities: LJ Sewer 0 Septic
Windows/Doors
Roof Roof pitch
Building Height:
FO jw,j ]
G NT R , q y.t
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Name Janice Fink
Name: JustinThiery
Address: 9950 S Ocean DR Apt 1803
Company: Island Kitchen and Bath
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-486-5459
Address: 10875 S. Ocean Drive
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-678-8219 - 772-237-7348
E-Mail:spikemom2@comcast.net
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
IT value or construction is ,525UU or more, a REcoROEo Notice of Commencement is required.
DESIGNER/ENGINEER:
_ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Name: Justin Ttuery
Address:_
Address:
City:
State:
City: Jensen Beach State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: 10875 S. ocean Drive
Address:
City:
City:
Zip: Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIPVIT: 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 represeitation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any appli ble 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 his requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved pns, the Florida Building Codes and St. Lucie County Amendments.
The following building permit appli ations are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming p Is, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your, ilure to Record a Notice of Commencement may result in your paying twice for
improvements to your prope y. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If ou intend to obtain financing, consult with lender or an attorney before
commencine work or recordi a vour Notice of Commencement—
j'
gnature f Owner/ Lessee/Co
'ractor as Agent for Owner
Si u of C tractor/License Holder
ST F FLORIDA
STA OF FLORIDA
COON OF se Lucie
COUNTY OF n lucle
The forgoing instrument was ackl
owledged before me
The forgoing instrument was acknowledged before me
this �day of m��r
-1
� .20lFrby
this_l day of MQ1f 20J_fby
Justin Thiery
Name of person making
statement
Name of person making statement
Personally Known OR P
oduced Identification x
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced ova License
Produced
(Signature of Notary P I -
o Florida)
(Signature of Notary Public- or' a )
Commission o
f: °pB�� (Se FIAELRAAZ
MY CO MISSION t FF 904140
Commissi ° �' ��� (Sea4ICHAELRAAZ
MMY
*
*
EXPIRES: July28,2019
* * COMMISSION i FF 904140
EXPIRES:July28,2019
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANI
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17