HomeMy WebLinkAbout5412 CASSIA DR SHOWER REMODEL BUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/12/2021
Permit Number:
gTro [Lu, CE [E
Planning and Development Services Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982 Residential X
Phone: (772) 462-1553 Fax: (77 ) 462-1578
PERMIT APPLICATION FO :SHOWER REMODEL
PROPOSED IMPROVEMENT LOCATION:
Address: 5412 CASSIA DRIVE j
Property Tax ID #: 3402-610-0065-I 00-9
Site Plan Name: Lot No.
Project Name: 5412 CASSIA DR Bock No.
DETAILED DESCRIPTION O WORK;
REMODEL EXISTING SHOWER A D REPLACE FREESTANDING TUB.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMA ION:
Additional work to be performed under this permit — check all that apply:
Mechanical Gas Tank
Gas Piping Shutters Windows/Doors '
ndows/Doors Pond
Electric Plumbing
Sprinklers G
,.._ enerator � Roof Pitch
Total Sq. Ft of Construction:
S . Ft.
q of First Floor:
Cost of Construction: $ 91857
Utilities: .� Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LEEDS E. JARVIS; JERA JARVIS
MI
Name: CHAEL CONRAN
Address:5412 CASSIA DR
City: FORT PIERCE
Company: CONTRACTOR SERVICES OF SOUTH FLORIDA, LLC.
State:9 Address.- 550 CARLTON RD
Zip Code: 34982 Fax:
�
.PORT ST LUCIE
City. State: FL
Phone No.772-519-1933
. 34987
Zip Code.
E-Mail:
Fax:
Phone No 772-361-3227
Fill in fee simple Title Holder on ne
t page
if different E- • SFCONTRACTOR Ma i I a�YAH 00. COM
from the Owner listed above)
State or County License GB C1261632
If value of construction is 2500 or more..
If value of HAVC is $7,500 or more, a RECORDED
a RECORDED Notice of Commencement
Notice
of Commencement is required.
SUPPLEMENTAL CONSTR
DESIGNER/ENGINEER:
Name:
Address:
city:
Zip: Phone
CTION LIEN LAW INFORMATION:
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: Not A pplicable
Name: --
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFID1
I certify that no work or installation h
St. Lucie County makes no representz
which is in conflict with an a
structure. Please consult with yourH(
c
MORTGAGE COMPANY: Not '
Name:
- Applicable
Address:
City
State:
Zip: Phone:
BONDING COMPANY: Not A
Name: pplicable
Address:
City:
Zip: Phone:
IT: Application is hereby made to obtain a permit to do p the work and installation as indicated.
s commenced prior to the issuance of a permit.
ion that is granting a permit will authorize the permit holder to build
Home Owners Association rules, bylaws or and covenants that may rest rict or prohibit subject structure
e Owners Association and review your deed for any restrictions which such
r
In consideration of the granting of thisrequested permit, I do here may apply.
in accordance with the approved plans, the Florida Buildi by agree that I will, in all respects, perform the work
ng 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, wails, signs, screen rooms and ac
cessory uses to another non-residential use
WARNING TO OWNER: Your fail re to Record a No
improvements to our ro � tice of Commencement may result in paying twice for
Y p p y. A Notice of Commencement must be recorded in
Lucie County and posted on he jobsite before the the public records of St.
with lender or an attorneyfirst inspection. If you intend to obtain financing.,
b fare Commencing work or recording yourNotice n. consult
n rr�_ ice •f Commencement.
Signature of ner/ Les e Contract r as Agent for Owner
STATE OF qORIDA V
COUNTY OF
Swor o
7(or affirmed) and subscribed before me of
_ Physical Presence or_. Online Notarization
this day of Cutt,_C --k' by
�4�S
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
( gnature of N ary ic- State
t Notary Public - StatE
ComrNssion # GG
Commission No. Mx Comm. Expires S4
tNrot�fi National i
REVIEWS FRONT ZONI G SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
SignatureJof Contr cto icense Holder
STATE OF FLORIDA
COUNTY OF
—4CV
Sworn (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization
this day of - by
C V) CL }
'l ce, _0
Name of person making statement.
Personally Known OR Produced Identification
Type of Ide tification
Produced ��- -I c)-1 -
41
offtWat re of Notary Pu c- St of FloridU_
1222
ion No. rr WENDY'G. JERN
�i• �• �� Notary Public - State
ComhMssion # GG
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PLANS VEGETATION SEA Tl�
REVIEW REVIEW REVIEW -.'
REVIEW
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2027-
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