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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O� Date: SCANNED Permit Numb IRECEIVED , BY St. Lucie County — _ WffM5 3i JUN 19 2018 on Building Permit Application Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County, FL 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, apt 904, Jensen Beach, FL. 34957 Legal Description: REGENCY ISLAND DUNES TWO UNIT 904 (OR 3761-813) Property Tax ID #: 3534-502-0046-000-4 Site Plan Name: Project Name: Lot No. Block No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: �^ ,r. �t-� , 1 i,". �,.Fn.n_ Il%11► III Bathroom Renovation: Remove Tub & Tub/Shower Valve Toilet, Sink, Floor, Swing Do6r (Non Load Bearing), Wall Tile to Studs: Convert Tub to Shower & add new Shower Valve,(Same Location) Wadi Pan & Walls. (Barrier Free Shower) Move Existing Interior Wall 12" into Den. (Non Load Bearing) Re -frame Wall with Pocket Door. Install Tile in Shower & Floor & Dry Tile. Relocate Electrical Switch to New Entry, Add GFI @ Toilet. New Vanity Light, LED Recess Lights, Exhaust Fan (Same Location) Plumb New Shut -Off Valves, Sinks, Faucets & Install Bidet Toilet. (Same Location) Repair all Drywall Damage & Paint. CONSTRUCTION INFORMATION: III ondiworxwue HVAC Electric enunneu mwc, Gas Tank Plumbing uua ❑Gas ❑Sprinklers pnnun.—u,aLrt au Piping _ []Generator apply. Shutters ❑ 0 Windows/Doors Roof ❑✓_ Total Sq. Ft of Construction: 52 sgft Cost of Construction: $ 30,000.00 S Ft. of First Floor: li_ UtilitiesSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Richard F Dodge & Deborah J Dodge Name: Nathan Cooke Address: 8600 S Ocean DR Apt 904 Company: Cooke Construction, Inc City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 1-704-277-7206 Address: 1278 Business Park Place City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772-530-0659 E-Mail: dodgedebby@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. 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 FLO A/ STATE OF FLORID / COUNTYOF COUNTY OF 7 The for r'Ing instrument was acknowledged before me The forgging instrument was acknowledged before me this=dayof � � 20/`Bby this9dayof 7Oh-e-- 20 by oc ALXo v` C ©ok_r�- pl IA he , CEO � q_ (Name of person acknowledging) (Name of person acknowledging) /---\ (Signature of Notary Publi tate of Florida ) (Signature or Notary y Public- State of Florida ) Personally Kn OR Produced Identification Personally K 'l OR Produced Identification Type owl ennttih'c�a�ion Produced e o anti Ic /on Produced Commission No. G 7 ommission No. • 'r'o""' - WALTER D PAYNE-II �oirrir>u'a"�., ALTER D PAYNE II aa'^ • udp, cr x�g Notary Public - State of Florida My Comm: ExpiresCommisslon.M GA! 24467 Revised 07/15/2014 "„� IX 1 �? ` My Comm. Expires Aug 25, 2020 %%9 -A-0' Bonded nmuph NationalrNotary Assn .Bonded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS