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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 •e.�XNYui�N-R}' 4A4MM s:''.'.Al '�• •. � %Il'1� P$ 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 �. 8"'adDNBud:MNcttrySenim oT T._ 6 REVIEWS FRONT ZONING SUPERVISOR PLANI VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17