HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I10 QA14 SCANNED Permit Number: 1910 Dal it
By RECEIVED
St. Lucie Countv
OCT 12 2018
Building Permit Application Permitting De pri
Planning and Development Services 5t. Lucie Countv
Building 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: Window/door
PROPOSED IMPROVEMENT LOCATION: �II
Address: 9490 S OCEAN DR 215A
Legal Description: OCEAN TOWERS CONDOMINIUM A- UNIT215 AND UNDIV SHARE IN COMMON ELEMENTS (OR 3594-325
Property Tax ID #: 3535-701-0014-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
Replace existing slider with non impact slider.
Approved shutters existing Fff... rF -W,J S06- 6262. SAxT Z7"
CONSTRUCTION INFORMATION:
Aacitional Work to e e orme un
LJHVAC f] Gas Tank
ert Ispermit—checka
Gas Piping
appy:
_ Shutters
Q Windows/Doors
Electric Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
2,200.00
Sq Ft of First Floor:
0
Cost of Construction: $
Utilities:
Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David A Pedch
Name: Nathan Cooke
Address: 9490 S Ocean DR Apt 215A
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:
Not Applicable I MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
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 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.
�a r{
Signature of Owner/ Lessee/Corlitraltor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA,�
COUNTY OF i f�(I,o4,B-�/
COUNTY OF /y/AeI7/y
The forgoing instr ment was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20� by
this d day of ileK706M 20/T by
ii lI,A,, rr'P iC�p
/1//UiJO/0N cok-IF
Name of perso aking statement
Name of person making statement
_-
Personally KnownLf OR Produced Identification
Personally Known Produced Identification
Type of Identification pt11111111111
Type of Identification
Produced ������V,VNNECy
y'hy�iuced
•�ptt,MISS/04,
* •,•'�i �6ibarp9
,o
(Sig ure of Notary Public -State of Floridan ;• pFc, 178388"{�ir�ture
of Notary Public-Sta e o lorida )
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Commission NO. �FIIR �P ��/llf
WALTER D PAYNQ
/rr�jDf\\
Notary
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Commission # GG
REVIEWS
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SUPERVISOR
PLANS
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REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
i
DATE
COMPLETED
Rev. 8/2/17