HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:By
J�O� O�iCJ
St. Lucie County
KNEW
Building Permit Application 610�9
Planning and Development Services SEQ 2
Building and Code Regulation Division �eQatt
1300 Virginia Avenue, Fort Pierce FL 34982 peren`tt`� \e CO�c
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential 5'
PERMIT APPLICATION FOR: Renovation
Address: 8650 S. Ocean Drive, LN5 (#205), Jensen Beach, FL. 34957
Legal Description: REGENCY ISLAND DUNES BUILDING 1 UNIT LN-5 (OR 4103-866)
Property Tax ID #: 3534-501-0005-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Master Bath & Closet: Remove wall at closet & toilet areas. Convert tub to shower. Frame new wall &
install pocket door. Install new shower valve, pan, door & safety glass toilet enclosure. Install Recess
LED lights & fan. Plumb new shut-off valves, sinks & faucets. New toilet. (all same locations) See Plans.
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11HVAC Gas Tank E]GasPiping _Shutters ❑Windows/Doors
Z✓ Electric ❑✓_ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 465 sq. ft. Sc Ft. of First Floor:
Cost of Construction: $ 25,000.00 Utilities:1] Sewer Septic
Building Height:
1 tE LESSEE
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GONTRAGTOR.
Name Francis and Barbara Tarantino
Name: Nathan Cooke
Address: 64 Upper Bay Road
Company: Cooke Construction, Inc
City: Sunapee State: NH
Zip Code: 03782-2328 Fax:
Phone No.1-603-355-9033
Address: 1276 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail:ftarantinol@msn.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: CGC1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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A� I ONE _ • ;.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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 n attorney before
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA)/7�( t
COUNTY OF ✓ T ►�
The forgoing instrument was acknowledged before me
this day of rtf 20 Ltby
STATE OF FLORIDPAy���/�� rr
COUNTY OF X '•Tfr t.
The foroing instrument, was acknowledged before me
this 14 day of SG��Te7'�910" . 20`� by
e.�` f �x4lV� ��,L
(Name of person ackngw smg - /I
(Signature of Notary Public-State,of rlorida) igirature of Notary Public -State of Fror
Personally Know QFpY� " e �e iTEfiio PAYNE II ersonall Kno OR Produced
Type a ton Pro ' ° ':�o1a�u��E -Mate-ef-FJnrid y n rfi 'ZProduc
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/ iy�Comm. Expires Aug 25, 200 CommissionNo.,�,".•edrti�edl�rougnNationalNotaryAsn. mmi55ionNo
Revised 07/15/2014
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My Comm. Expires Aug 25.
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SUPERVISOR
PLANS
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COUNTER
REVIEW
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DATE
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INITIALS