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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE C6i' XTED FOR APPLICATION TO BE ACCEPTED . Date: SCANNED Permit Number: I 0©0 O at BY St. Lucie County RECEIVED Building Permit Application AUG 18 2010 Planning and Development Services Permitting Department Building and Code Regulation Division - St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Renovation III Address: 9600 S. Ocean Drive, #102, Jensen Beach, FL. 34957 Legal Description: EMPRESS CONDOMINIUM UNIT 102 (OR 1392-1434) Property Tax ID #: 4502-620-0002-000-1 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: III Master/Bath/Closet: Remove vanity sinks, top & cabinets, toilet, marble tub & wall surround, shower valves, flooring & wall tile. Remove & cap off shower plumbing (Terminated). Remove Non -Load Bearing wall. Convert tub to shower (Drain Remains in Same Location). Install: New Wadi shower pan & wall system, shower valve. Frame & drywall old shower opening & repair drywall damage. Tile walls & floor within shower area. Install new shower enclosure (Tempered/Safety Glass). dry floor tile, closet cabinets & shelving, Recess LED lights, exhaust fan (Same Location), vanity & top. Plumb new shut-off valves, sinks & faucets (Same Wall), new toilet (Same Location). Repair all drywall damage & paint. CONSTRUCTION INFORMATION: AclaitionalworK to e e orme under this permit —check all apply: HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ❑In ❑✓—Electric ❑✓_Plumbing []Sprinklers❑Generator ❑Roof Total Sq. Ft of Construction: 200 sq ft Cost of Construction: $ 20,000.00 S Ft. of First Floor: Utilities:Sewer❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Steed Johnson Name: Nathan Cooke Address: 9600 S. Ocean Drive, Unit #102 Company: Cooke Construction, Inc City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No.772-812-4815 Address: 1278 Business Park Place City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772-530-0659 E-Mail: Steedf)@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 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Address: City: _ Zip: Name: _ Address: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Counter 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 commencine work or recording vour Notice of Commencement. _ Signature of Owner/ Lessee/Agent signature of Contractor/License Holder STATE OF FLORI, / STATE OF FLORID„ COUNTY OF ///r�/1 `► COUNTY OF a � ,v." The forg 'ng instrument as acknowledged before me The forgoing instrument was acknowledged before me this50' ay of 20 Eby this Sday of SJ�f/ 20 /_i by A. -vU /Ila4kr'' C e (Name of person acknowle gin (Name of person acknowledging) 'e 5;:"1' (Signature of Nota ublic- State of Florida) (Signature of Notary Public- a e of a ) Personally Know 0 P ovally Kno OR Produced Identification Type of Identificatio Produc WALTER D PAYNE II 1 Tyfie of Identifiicatto Produc /• //'' '_°� Notary Public - State of FI ida // 7 �! '•°"a; y Public -State of Flori Commission No. G17� y - :'�eagommission N GG 2446 Co mission No. G(J 2 7 '_° ,�S�oJ My Comm. Expires Aug 25. 020 i.'6mmission N GG 24467 `qy p 9 Bonoed lnrouan National Notary ssn. ,� yP My Comm. Expires A. 2... 2 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REV REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 8 Yo IS