HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED F8RQ1PRLICATION TO BE ACCEPTED i
Date: BY Permit Number: 1 or)
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Building Permit Application 03At3038
Planning and Development Services
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: Renovation
Address: 8600 S Ocean Drive, Apt 604, Jensen Beach, FL. 34957
Legal Description: REGENCY ISLAND DUNES TWO UNIT 604 (OR 3586-1707)
Property Tax ID #: 3534-502-0028-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Kitchen:Enlarge existing pass-thru opening (Interior Non -Load Bearing) Add GFI Outlets per Code (at new counter top) Install
& Plumb new sink (Drain Remains in same Location) Guest Be: Install shower Valve, Pan, toilet, Plumb sink, faucet. Install
new vanity light (All Remain in Same Locations) Hall Bath:lnstall shower valve, pan, toilet. Plumb new sink & faucet (All Same
Locations) Install shower enclosure. Install new exhaust fan, vanity & shower light.(AII Same Locations) See Plans.
Muuwuud I WUIM w ue c, IunICU unuei LIM pennu—urccrt d1i apply:
11 Gas Tank EIGas Piping _ Shutters ❑ Windows/Doors
Z✓ Electric Z Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 350 sq ft S Ft. of First Floor:
Cost of Construction: $ 25,000.00 Utilities:"n Sewer []Septic Building Height:
0 NRF{%EESE;
TUXENUMINKM M.,
Name James and Karen Wood
Name: Nathan Cooke
Address:8600 S Ocean Drive, Apt 604
Company: Cooke Construction, Inc
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.1-904-759-7274
Address: 1276 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: jk`Nood003@gmaii.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: nate@cookecwnstructioninc.com
State or County License: CGC1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 an attorney before
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDq�/J�f ( STATE OF FLORID
COLINTYOF %/l�r7lf� COLINTYOF a✓
The forgoing instrugent was acknowledged before me
this �ta- day of ff✓s USA' 20 Oby
(Name of
Personal
Commission No.
Revised 07/15/2014
Produced Identification
The forgoing instrume t was acknowledged before me
thisdayof 20 by
(Name of person a knowledging )
'o- PO 0' tily
(Signature of Notary Public- State o Florida )
Personally Known IY/ jyR Produced Identification
Type of Identification Produced
(SeaWALTER D PAYNE II mmission No. 6
Notary Public - Slate of Flori a
Commission # GG 24467
My Comm. Expires Aug 2b, ZM
BondEd through National Notary Assn.
'at) WALTER D PAYNE II
Notary Public - Slate of F
My Comm. Expires Aug 25,
Bonded through National Nolar)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS