HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED --7
Date: / O SCANNED Permit Number: o- o �7t
-� BY
ire St. Lucie County RECEIVED
Building Permit Application OCT 12 2018
Planning and Development Services
Building and Code Regulation Division Permitting Departmer
2300 Virginia Avenue, Fort Pierce FL 34982 ude County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Re i
PERMIT APPLICATION FOR: Renovation III
PROPOSED IMPROVEMENT LOCATION:
Address: 8650 S OCEAN DR 1001 11
Legal Description: REGENCY ISLAND DUNES BUILDING 1 UNIT 1001 (OR 4077-57)
Property Tax ID #: 3534-501-0049-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: 11I
Interior remodel. Kitchen- remove non load bearing wall behind sink to make half wall. New sink and
appliances all in same location. new cabinets and new recess lighting to replace old lights. Powder
bath- new vanity, toilet, light same location. New floor tile through whole unit.
CONSTRUCTION INFORMATION; 11I
HVAC L 1GasTank
Electric 0 Plumbing
Total Sq. Ft of Construction: 1,200
Cost of Construction: $ 80,000.00
Piping
❑_Shutters
❑Windows/Doors
nklers
❑ Generator
❑
Roof
❑
Roof pitch
SgI�Ft.� of First Floor: _
Utilities: LEI Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bertha A Quint
Name: Nathan Cooke
Address:8650 S OCEAN DR 1001
Company: Cooke Construction, Inc
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail:
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: CGC 1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name • Bertha A Quint
_ Not Applicable
MORTGAGE COMPANY:
N a m e: Nathan Cooke
_ Not Applicable
Ad d ress• 8650 S OCEAN DR 1001
Address: 8650 S OCEAN DR 1001
City: Jensen Beach
Zip: Phone
State:
City: Jensen Beach
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 1278 Business Park Place
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: 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 representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants 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 recordin o r Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA '/
COUNTY OF �/O TI
STATE OF FLORIDA., N
COUNTY OF f/
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledge before me
this day of 0( -p W_ 26LZ by
this day of Ca3�Oi�r 2Q by
of person king statement
PersonallyKnown Produced Identification
pers king statement
Personall Kn wn R Produced Identification
yName
Type o I ent- -cation
�Namewri
tcation
Produced 14
Produced
(Signature of Notary Publ-cte o to 'd
ignature of Notary Public- State of Florida )
7, WALTER D PAYNE II
�G Z „p` I
Commission No. cs_ Ni��� )uolic Stale of Florid
W
GGZ •,� 3 TER D PAYNE It
ommission No. n a� ••,,, rr$e o1 Flon
e`�;
- ; • Commission # GG 24467
;s�, Ndtary Wblic -State
�: • Commission # GG 24467
°;, `o': My Comm. Expires Aug 25, 20
•, a �;•
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%. o; my Comm. Expires Aug 25. 20
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rough Nations o Pry
ZONING
SUPERVISOR
REVIEWS
FRONT
PLANS
VEGETATION
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17