HomeMy WebLinkAboutapplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \�1\`t` Permit Number:
�11111 Building Permit Application ' DEC 3 p ^m9
Planning and Development Services ST. Lucie County, Permitting
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: 9600 S Ocean Drive, #1508, Jensen Beach, FL. 34957
Legal Description: EMPRESS CONDOMINIUM UNITS 1508, 1509 AND UNIT G-27
Property Tax ID #: 4502-620-0116-000-3
Site Plan Name:
Project Name:
Setbacks Fr
Back: Right Side: Left Side:
Lot No.
Block No.
North & South Baths: Convert tub drain to shower drain. Install new shower valve, plumb new sink &
faucet. New toilet, recess lights. Add/relocate doors & relocate electrid if necessary. Hall Bath: Relocate
entry door & relocate electric if necessary. New Recess LED Lights. Plumb new sink & faucet & Install
toilet. Wet Bar: Plumb new sink & faucet, replace cabinetry & relocate electric if necessary. See Plans.
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❑HVP
Electric
cnunucu unuo uu�penun—uic�rt
Gas Tank ❑Gas
Plumbing []Sprinklers
au
Piping _Shutters
❑
apply:
❑Windows/Doors
Generator ❑
Roof
0
Total Sq. Ft of Construction: 215 sgft
Cost of Construction: $ 35,500.00
S Ft. of First Floor: _
Utilities:cn Sewer ❑ Septic
Building Height:
E) M - /LESSEE:MUM
GONTRAGT®R
Name Tat John and Darlene Rancourt
Name: Nathan Cooke '
Address: 19 Cloverleaf BYP
Company: Cooke Construction, Inc
City: Lake Placid, State: FL
Zip Code: 33852 Fax:
Phone No.1-863-699-1082
Address: 1276 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: schieran@outlook.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.
SUPP - TAL DONS ft i
ION I IEiV Lt?
INVORMA9TIO
x + ,
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 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 it end to obtain financing, consult with lender or pattorney before
_ Signature of Owner/ Lessee/Agent
STATE OF FLORI I/[
COUNTY OF Urt'�Vl
The �r ing inst`ment was acknowledged before me
this ay of ec ew e2 20 17-by
(Name of person ac owledging
(Si nature of Notary Public- Late of Florida )
Personal) uced Identification
Type of Identificatio Pro d— — — — —
/, �•• WALT R D
Commission No. v`�+` �� �31��{`)Puolic -State of Flori
r •o Commission # GG 24467
=% _e My Comm. Expires Aug 25. 21
Revised 07/15/2014
STATE OF FLORIg
COUNTY OF / , V\,
The forgoing m�ument was acknowledged before me
this XV day of 11eC_emb"V_- . 20 J� by
A% �o®fie
(Name of pelsaa aslcCowled&g4,
(SigriatTre ofAofaary"Pubffc-State 6f Florida )
OR Produced Identification
6�Z Pu61ic - Stale of 1
No.
mission # GG 2441
d; My Comm. Expires Aug 25.
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