HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED
BY
St. Lucie County
Permit Number: V ► .06 1
RECEIVED
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
APR 2 9
Permitting Departme.
St. Lucie County
PERMIT APPLICATION FOR: Renovation III
Address: 8650 S. Ocean Drive, # PH3, Jensen Beach, FL. 34957
Legal Description: REGENCY ISLAND DUNES BUILDING 1 UNIT PH-3 (OR 1094-1765)
Property Tax ID #: 3534-501-0069-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Kitchen: Enlarge pass-thru opening, install under cabinet lighting, relocating any electric to code (If Necessary) Plumb new sink &
faucet (Same Location) Bar:Plumb new sink & faucet (Same Location) Master Bath: Remove tub & cap plumbing. Plumb new shower
valve, sinks, faucets, bidet & toilet. (All in Same Locations) Guest & Hall Bath:Plumb new shower valve & Tub valve in Guest only.
(All Same Location) Plumb sink, faucet, & toilet (All Same Location) Master, Guest, Hall Baths & Bar: Replace recess lights with LED,
existing exhaust fan/light & relocate any electrical to code (If Necessary) Laundry Room:Plumb new sink & faucet (Same Location).
11HVAC Gas Tank Gas Piping UShutters 1:1Windows/Doors
Electric ❑✓_ Plumbing Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: 1,000 sgft S Ft. of First Floor:
Cost of Construction: $ 90,000.00 Utilities:
Sewer Septic Building Height: _
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Name Najeeb and Nancy Khan
Name: Nathan Cooke
Address: 8650 S OCEAN DR PH-3
Company: Cooke Construction, Inc
City: JENSEN BEACH
Zip Code: 34957 Fax:
Phone No.1-574-536-0506
State: FL
Address: 1276 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: Nancy@khan3.com
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: CGC1520586
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SRP.P.9 II , r ' GONSTRUC�TIOI ,l1 lV.I A'W
INfORMAt II1J1V.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
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 aryattorney before
commencine work or recordine vou"otice of Cnmmencement. /
_ Signature of Owner/ Lessee/Agent Signature of Contractof/License Holder
STATE OF FLORID / STATE OF FLORIq,�y� (_
COUNTYOF vt COUNTY OF iY/ r'r_✓`
The forgoing instru entpas acknowledged before me The fotgoing instrument wits acknowledged before me
this;Yday11of r.l / 2019 by this��(,5-�ddaay/of(�J" /20 aby
(Name of person acknowledging) (Name of person>�owledgin
(Sign e f tary Pu tic- tate of nda) (Sig atu of Notary Public- State of Florida )
Personall K 0 oci,tliqgd lcientiTic#MpftR L+ PAYNE I ers ally Kno OR Produced Identification
Type of Identification Produce .•' '"" °`a;: o entifi at on Produce
I to NA
6 / z y ' •= Commission # GG 24 67 / y WALTER 0 PAYNE II
Commission No. L7 '•iSgly)Comm. Expires Aug 2 , q= ission No. V �7 z y '•Y.` SeW)ary Public -Slate of F
'•.pf„°".�` ' Commission # GG 244
Bonded through National Nola y Assn.
Revised 07/15/2014
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