HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: C8 IQ-,/,
BY
St. Lucie County RECEIVED
Wmm�
Building Permit Application DEC 14 7018
Planning and Development Services
Building and Code Regulation Division Permitting Department
St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Renovation
,;PROPOSED IMPROVEMENT LOCATION:
Address: I 0(o 00 S. 0C_eo_n Dri vf, *I M06
Legal Description: t
OC C-A-rlAr Sovri;-4 Comoci tA , cit i,4j�4 11 tA tj Ir 1- 2,09 10 0 - 213oA
PropertyTaxID#: 1,4511 -Sir?- Of 7-'2_-oo0-0) Lot No.
Site Plan Name: '94" Block No.
ProjectName:
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
=��777 71 - =1% AM,
CONSTRUCTION INFORMATION:�
L-JHVAC WG Tank L .. jGa!
s '
[ZElectric Plumbing Ospu
Total Sq. Ft of Construction:
Cost of Construction: $ 616, o D o
Piping
ars 11 Generator
S Ft. of First Floor:
Utilities'll Sewer 0 —
Septic
FIVVindows/Doors
11 Roof = Roof pitch
Building Height:
'O.WNER/LESSEE:
CONTRACTOR::
Name -VANC- A Lgzyy
Name: Justin Thiery
Address: ICAPQ0
City: To" Se4AL, (3eatk State: _Ej,
ZipCocle: �4997 Fax:
Phone No.- 9 C>3-56oB- cnf�)v
company: island Kitchen and Bath
Address: 10875 S. Ocean Drive
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-678-8219 - 772-237-7348
E-Mail: e7jyn
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ithieryikb@gmail.com; nblaszkaikb@gmall.com
State or County License: CBC1259568
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
Utb1UNtK1tNUINttK: — NOT Applicarlie MORTGAGE COMPANY: Not Applicable
Name: Name: jusun Thieiy
Address: Address:
City: State:. City: Jensen Beach State:
Zip: Phone Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: 10875 s. Oman Ddve 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 Coun,7 makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
whichisincon ict with any applicable Home Owners Association rules, bylaws or angcovenants 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 your Notice of Commencement.
2�ractor/Uicense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF st Lucia
COUNTYOF.st"-
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 5i_ day of Mecaft4oev- 20 10 by
thisV�dayof 20 10 by
Justin Thiery
Name of perigon�making statement
Name of person making statement
Personally Known OR Produced Identification.X
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced Driven; License
Produced
(Signature of N 19i—C of Flor
(Signatu��otary P�u�blial e of Florida I
ON # FF 90040
Commise 6n-_---"' WNW 2019
MICHAEL RAAZ
orn 0. # FF 904140
EX u ly 28
;f My CCK%6W0N
e Bonded Thru Budset Notary SOT'n""
*
EXI'lRES: July 28,2019
�1�3
15
Bonded Thm Budgeftbl`Y Sentes
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17