HomeMy WebLinkAboutBUILDING PERMIT APP 5412 CASSIA SPARE BATHAll APPLICABLE INFO MUST BE CbMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1/2021
O
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
Residential x
2300 Virginia A ven ue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR
:SHOWER REMODEL
PROPOSED IMPROVEMENT LOCATION:
Address: 5412 CASSIA DR
Property Tax I D #: 3402-610-0065-000-9
Site Plan Name: Lot No. --------
Block No.
Project Name: 5412 CASSIA DR SPARE BATH
DETAILED DESCRIPTION OF WORK:
Remodel existing walk in shower. (Remove existing tile, backing board, shower floor base and shower a . anPour itch
p pitched base for shower pan.
Install shower pan on pitched base and pour a pitched base on top of the shower an for floor
p Ioo tile. Install durarock, coat seams, and apply a
elastomeric waterproofing membrane. Install shower wall tile, shower floor tile, and grout.
New Electrical Meter s�econd Electrical Meter
e
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
I :
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ ( r)
OWNER/LESSEE:
a
Name LEEDS JARVIS; JERA JARVIS
Address: 5412 CASSIA DR
Gas Piping
Sprinklers
City: FT PIERCE State:
Zip Code: 34982 Fax:
Phone No.772-519-1933
Shutters Windows/Doors Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
E-Mail:
Fill in fee simple Title Holder on nxt page (if different
from the Owner listed above)
CONTRACTOR:
Name: MICHAEL CONRAN
Company: CONTRACTOR SERVICES OF SOUTH FLORIDA, LLC.
Address:9550 CARLTON RD
City: PSL State: FL
Zip Code: 34987 Fax:
Phone N o 772-361-3227
E-Mail SFCONTRACTOR@YAHOO.COM
State or County License CBC1261632
If value of construction is 2500 or more a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commence q
� Commencement is required.
SUPPLEMENTAL L CON
DE5tGNER/EN6-jNEER• f
Name:
Address:
City:
zip' Phone
�UCTIPN LIEN (,qw INFORMATION:
Not Applicable
State:�
FEE SIMPLE fj_T_L_EH&L-E)ER.Name: Not Applicable
Address:
City:
zip: Phone:
Commission No.C--�G 2—Lli
MORTGAGE COMPANY:
Na , ----- .p, Not Applicable
ppflcabfe
Address:
City' -
Zip: Phone: State:
BONGING COMPANY:
Name: .,.Not Applicable
Address:
City:
t�1111l1IER C�AFFID
- � Zip: Phone:
/ CONTRACTOR ---
1 certify that no work or in � IT' Application is hereby made
installation nos commenced prior to the i to obtain a permit to do the work and inst
allationLucie as indicated.
which is in conflict with any applicable
that is grantinga
structure. Please consult with pp�uaN4 dome owners Association
mi�e, will authorize the permit holder to build
Y ome Owners Association and review Your or and covenants that s Which
est subject structure
!n consideration of the granting of this your deed for any restrictions y , restrict or prohibit such
En accordance with the a g s requested permit, i do hereby agree t °ns which may apply,
approved plans, the Florida Building Cedes and 5 that I will, in all respects, perform the
The following buildingt. Lucie County Amendments, work
perrnit applica ions are exempt from undergoing
accessory structures, swimming pools' fences wa g g a full concurrency review: r
DARNING TO Q lls, signs, screen rooms and assessor use °°rr' additions,
OWNER: Your fai ure to Record a Ny s to another non-residential use
improvements to your rQe once of Commencement May
Lucie County andPostedp P! rty. A Notice of Commencement Y result d laying tv�rice for
on the �obslte before the first ' must be recorded In the public records of St,
_.� e cOmmencin� work or recording d to obtain financing, consult
---� your Notice of Commencement.
Signature %00 ��
of, wner/ Leyte /Contras or as Agent
,g for owner
STATE LORIDA
COUNTY OF
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this .Z day of M ci,-C_h 202 by
VV-(
Narne of person making staterent.
Personally Known OR Produced Identification
Type of Identification _-
Produced
(Signature of Notary Public-.
�AYP'�-,, - REBECCA L BUQU(
° = N ary Public -State of Flc
4?6Wission # GG 29
52
:';fo, «o?;,•� My Commission ExpirE
REVIEWS "s
FRONT[ZONIN�G SUPERVISOR
COUNTER REVIEW REVIEW
bATE
RECEIVED I ��
DATE -
COMPLETED � l
ev.57�---__--
ignature of Contractor/License Holder
STATE OF FlOIDA
COUNTY OF - �4- C_ `, c
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or _ Online Notarization
this � day of 2 0 2 t by
Name of person making statement.
l Personally Known ✓ OR Produced Identification
Type of Identification ---------
Produced
� l � nature of Notary Public- 5t ��`� R '�
rids _4Jbtary Public -State of
=' *� Commission # GG 2
s mission No.� �l� F�oA�; {S Commission Ex
January 27, 2r.:
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PLANS VEGETATION SEA TURTLE
REVIEW REVIEW MANGROVE
REVIEW 1 REVIEW
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