HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/05/2016 Permit Number:
a
Building Permit Application AUG 0 5 2616
Planning and Development Services PERPAIT,ING
Building and Code Regulation Division Ct. Lucie Cohty, FL
2300 Virginia Avenue,Fort Pierce FL 34982 `(/
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 8800 South Ocean Drive, Unit 904 Jenson Beach FL.34957
Legal Description:
Property Tax ID#: X33 6"03 607 00,D-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
"DETAILED DESCRIPTION OF WORK f
Change the master bath tub to a shower, add additional sink to master bath, replace shower pan in
guest bath, install owner supplied fixtures for Kitchen, Master Bath and Guest bath
C0_NSTRUCTION INFORMATION
Additionalworktobenertormed under this permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric �Plumbing ❑Sprinklers Generator El
Roof
0 Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,400.00 UtilitiesSewer Septic Building Height:
-OWNER/LESS,EE y CONTRACTOR
Name Scots- aJ- Name: Paul Shaughnessy
Address: 930 =s O' viewlt,I Company: United Plumbing Solutions LLC.
City: State: Address: P.0-Box 1827
Zip Code: Fax: City: Palm City State:FL
Phone No. Zip Code: 34990 Fax: 772-679-0212
E-Mail: Phone No. 772-9054442
Fill in fee simple Title Holder on next page(if different E-Mail: Pauls@ups-plumbing.com
from the Owner listed above) State or County License: CFC1426338
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONsf'U TION,LIER AW INFORMATION
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
commencing work or recording our Notice of Commencement.
s
_Signature of Owner essee/Agent Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `_uci, COUNTY OF
The for oing inst ment wa acknowledged before me The forgoing instr ent was cknowledged before me
this day of 20 LLQ.by this�day of 20 T11 by
(Name of person acknowledging (Name of person acknowled ' g)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Prod d Identification L// Personally Known OR Pro ed Identification _
Type of Identification Produced D•L Type of Identification Produced
Commission No.-F PF ++,,,,,, ission No. r (Seal)
�;,.�r•v,;;, AREN S. NIELSEN
'• °�= Commission M FF 115 37 `�pnnrw,''
•�• KAREN S. NIE
1917 ion xpiresommission N FF 115837
'•n,;;;r++ June 12, 2018 s•; •�: My Commission Expires
Revised 07/15/2014 'y „+�`° June 12, 2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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