HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl
ALL APPLICABLE INFO MUST BE COi nr .ETED FOR APPLICATION TO BE ACCEPTED q
Date: Permit Number: I p^����
SCANNED
BY RECENED
• — _ St. Lucie County
Building Permit Application = 3lote
Planning and Development Services Permitting oepartr
Building and Code Regulation Division
St. Luce Count
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Renovation III
PROPOSED IMPROVEMENT LOCATION: III
Address: 9650 S Ocean Drive, Apt #1603, Jensen Beach, FL. 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1603 (OR 983-1966)
Property Tax ID #: 4502-610-0143-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Master Bath (Tub Replacement) Remove Tub & Tub Valve. Remove Tile @ Tub Only. Install New Tub
Valve & New Tub (Same Location) NOTE: Soaker Tub Only -NO Electric. Install DensShield Tile Backer.
Install Wall Tile @ Tub Area Only. Install Tub Valve Trim. Repair any Drywall Damage and Paint.
CONSTRUCTION INFORMATION:
Mona wor to e e orme under tispermit—check all apply:
11HVAC Gas Tank []GasPipingIn _Shutters ❑Windows/Doors
11 Electric ❑✓_ Plumbing Sprinklers Ei Generator E]Roof
Total Sq. Ft of Construction: 20 sq ft.
Cost of Construction: $ 18,000.00
S Ft. of First Floor: _
Utilities.
Sewer D Septic
Building Height:
O WN ERAESSEE:
CONTRACTOR:
Name Herman and Pamela Levin
Name: Nathan Cooke
Address: 9650 S. Ocean Drive, #1603
Company: Cooke Construction, Inc
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-708-6217
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: pamelah26@comcast.net
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
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
LIEN LAW INFORMATION:
Name: ------
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: — Not Applicable BONDING COMPANY: _Not Applicable
Name: 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
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORI STATE OF FLORID
COUNTY OF a✓� V, COUNTY OF �4f � ✓t
The forg9fng instrument was acknowledged before me
this Ll day of -5c 1X 20 /-0by
{1%s�-1•wv. Cooly
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Know e— !/ OR Produced Identification
Type of Identifica ion Produced
Commission No. 171J AR ER D PAYNE II
: Notary Public - State of Florida
o,? My Comm. Expires Aug 25. 2020
Revised 07/15/201 - Banded through National Notary Assn,
The forgoing instrument was acknowledged before me
this W oday of Sig ty .20 Z by
(Name of person acknowled ing )
(Signature of Notary Public- State of Florida )
Personally Kno �OR Produced Identification
Type of Iden tftcatlo Produced
Commission No. GG z
(Seal�WALTER D PAYNE It
Nota y Public - State of Flori
Commission s GG 24467
Bonded through National
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