HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:, SCANNED Permit Number:
BY RBI
St Lucie Cou
Building Permit Application MAY 1'02018
Planning and Development Services
Building and Code Regulation Division Permitting De artment
dfl
2300 Virginia Avenue, Fort Pierce FL 34982 @..69&
Phone: (772) 462-1553 Fax: (772) 462-157,8 Commlercial Residential x
PERMIT APPLICATION FOR: Renovation
PR
OPOSED9IM,PROVEIM'ENT00CATION
Address: 115 SE Naranja Ave. PSL, FI. 34983 I
Legal Description: River Park Unit 5 BLK 47 LOT 22 map (34/28N) ( or 1319-352)
Property Tax ID #: 43419-540-0159-000/3 Lot No. 22
Site Plan Name: I Block No. 47
Project Name: Labossiere Bath Remodel I
Setbacks Front Back: Right Side: Left Side:
I
DETAILED DESCRIPTION'OF WORK t
�e
remove and replace bathtub tile, backerboard, vanity, bathtub faucet, vanity faucet.
CQNSTROCTION'1NIFORMATIGN
Itiona work to a er orme under this permit— check TJ
apply:
11HVAC Ei Gas Tank Gas Piping Shutters F-] Windows/Doors
Electric 0 Plumbing Sprinklers IGenerator Roof Roof pitch
Total Sq. Ft of Construction: 40 Sqn of First Floor: 726
Cost of Construction: $ 3500 Utilities: Sewer 0Septic Building Height: 8
01NNER/LESSEE _
;CONTRACTOR:
Name Paul or Cathy Labossiere
Name: David Ottaviani
Address:25 Inwood Dr.
Company: JASDINC
City: Crossville State:TN
Address: IPO Box 2042
City: Jensen Beach State: FI
Zip Code: 38558 Fax. n/a
Phone No. 931-210-4626
Zip Code: ',34958 Fax 7:72=6,7,9=01,94
E-Mail: cathy@fpregroup.com
Phone No.�I772-334-8374
E-Mail: Info@jasdinc.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CGC1512947
It value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN.LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
INa m e: Paul or Cathy Labossfere
MORTGAGE COMPANY: Not Applicable
�Na me: David Ottaviani
Address: 115 SE Naranja Ave. PSL, Fl. 34983
Address: 25 Inwood Dr.
City: Crossville State:
Zip: IPhone
City: Jensen Beach State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: PO Box2o42
Address:
City:
City:
Zip: Phone:
iip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 wjll 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 herebylagree 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 undergoi�lg 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
commencine work or recordine? vour Notice of Commencement.
1 0 ") at,
I
—,
Sig ure o'ro<vn'er/Lessee7cunt-raltords Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
r �1 I'1
STATE OF FLORIDAsi ' tiJkG•U
COUNTY OF V� l0
COUNTY OF
The forgoing instrument was acknowledged before me
Th Iforgoing instrufnenlLwaq acknowledge efore me
I -b
this day of Ma' 20114 by
this' day of 20 by
vC (}1-b\ CLn'i
PQU
Name of person making statement
IName of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
DAWN BLOOMFIELD
a� Notary Public, State of Florida
a
fA I T _00 M
oA0
—A- s " Commission# FF 131635
(Signature of Nota � t te�tafshydt k)State of Florida
ex Ires June 10, 2016
ig ature of Notary Pub' is -Mate of )2i'rrd5iT. P
Cr " ComMssion# GG 3263t3
Commission No.G A9yaomm.�*QSepL28,2019
1
Commission No. V J� (Seal)
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COMPLETED
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tev. 8/2/17