HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: A • 19 SCANNED Permit Number: I I " O
BY
St. Lucie County
01111111111-
RECET
Building Permit Application
Planning and Development Services NOV 0 5 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residen Ia
PERMIT APPLICATION FOR: Renovation
PRQPOEL ROUEMENT LOGA7(tN;
Address: 10410 S OCEAN DRIVE, #602, JENSEN BEACH, FL 34957
Legal Description: HUTCHINSON ISLAND CLUB -APT 602 (OR 1216-2403)
Property Tax ID #: 4511-514-0038-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
' TA' 1('
E'.
Master Bath Shower: Remove tub & shower valve. Convert tub drain to shower drain (Drain
Remains in Same Location) Install new shower valve. Install new shower pan and wall system.
Shower Enclosure (Safety Glass) See Attached Plans.
CONSFR' rN t FO
itiona wor to un ert is permit— cneCK all apply;
flerformed
�HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: 100 sgft S Ft. of First Floor:
Cost of Construction: $ 5,000.00 Utilities Sewer ElSeptic Building Height:
O•WN �t�f1*S EE;
CON �R��� OR
Name Jet Action Real Est Broker Lmt- Terry Lawrence CiA4
Name: Nathan Cooke
Address: PO BOX 27133 RPO FENWICK
Company: Cooke Construction, Inc
City: HALIFAX, NS B3H 4M8 CANADA State: _
Address: 1276 Business Park Place
City: Jensen Beach State: FL
Zip Code: — Fax:
Phone No.1-902-456-8523
Zip Code: 34957 Fax:
E-Mail: TERRY@JETACTION.CA
Phone No. 772-530-0659
Fill in fee simple Title Holder on next page (if different
E-Mail: nate@cookeconstructioninc.com
State or County License: CGC1520585
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
tM �TAL ONSy R�U� ION LIF�U LAW IN�f}RMATtt71V
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 Count 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 attor y before
commencing work or recording vouiWotice of Commencement. /
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIpj�+ STATE OF FLORIDwrj f_,�,,,
COUNTY OF c. ('1 COUNTY OF � cer 'ro V
The forg�ng instrurr5n�srac�wledggedJAfore me
this t3 day of CCJJ bb ((�_llyyll_y
Commission No.
Revised 07/15/2014
The forgoiagyiof (y/m
Yp�en was acknowledgedfore me
thisda20 by b
Personally Krfowo uC OR Produced Identification
CrI36i@ion # GG 24467 Commission No.
My Comm Expires Aug 25, 2020
Banded through National Nolary Assn.
(Seffil�LTER 0 PAYNE II
Notary Public - State of Florida
My Comm. Expires Aug 25. 202(
Bonded through National Notary Assn
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