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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL I PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t Date: 11/06/2018 Permit Number: 1211 -- of l s- RECE11iED Building Permit Application Nov o,7 2018 per n anning and Development Services Bluilding and Code Regulation Division t'�� ge County Tent 2300, Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Renovation Of%AKIN 1171 PROPOSED IMPROVEMENT LOCATION: BY Address: 8600 South Ocean Drive Unit 901 Jensen Beach FL 34957 St Lucie (fount)! Legal Description.. Condominium i Property Tax ID #: 3534-502-0043-000-3 Lot No. Site Plan Name: Block No. Projecit Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Demo' existing shower tile, replace shower valve and add diverter valve for additional shower rain head, install new shower pan, install tile backer board and re -tile shower walls and floor. Provide GFI receptacle for a new Toto G400 Washlet toilet. Existing toilet to be replaced - no change to location. CONSTRUCTION INFORMATION: ditibnal work to be performed under this permit— check all apply: VAC Gas Tank ❑Gas Piping In Shutters ❑ Windows/Doors Electric Plumbing r Sprinklers E Generator g Roof Roof pitch Total Sq. Ft of Construction: 30 sq it S . Ft. of First Floor: _ 15,000.00 Cost of Construction: $ Utilities: Sewer F —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name !Carole J Lewis Name: Jacob A Spetla Address: 8600 South Ocean Drive Unit 901 Company: J. A. Spetla Construction, LLC. City: Jensen Beach State: FL Address: 2412 SE 33rd Street Zip Code: 957 Fax: City: Okeechobee State: FL Phone No.1-772-333-2112 Zip Code: 34974 Fax: E-Mail: CLewis6559@aol.com Phone No. 1-561-891-8939 Fill in fI a simple Title Holder on next page ( if different E-Mail: Jakespetla@gmail.com from the Owner listed above) State or County License: CBC 1260324 If value of construction is $Z500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DES GNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Na e: I Name: Add�ess: Address: i State: City City: State: Zip:I Phone I Zip: Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable _ Name: Name: Address: 2412 SE 33rd Street Address: Cityl City Zip: - Phone: 1 Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certi jy that no work or installation has commenced prior to the issuance of a permit. St. Lucre County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which s 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 acc6rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The fo�lowing 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 comm, encine work or recordine vour Notice of Commencement. Signature of Ow / Lessee/Contractor as Agent for Owner ature of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S'I. 1_oc.%0 COUNTY OF SK . Lue i tE The forgoing instrument was acknowledged before me this day of_toeN Mc3aw, ,20_M by The forgoing instrument was acknowledged before me this nday ofkiayDmsect. .20 1*by erxi2eL Imul%a 75^"Fy SPmt.ta Name of person making statement Name of person making statement Personally Known OR Produced Identification Xy Personally Known OR Produced Identification NY Type of Identification Type of Identification Prod ced 10, t, I Produced 1? •�• I .•�W����, JOHN BROCKHAUSENAQHN BROCKHAUS (Si na re of Nota - �ei �� # GG 243073 �y Comrr�mission Expires No. ?3 Jul$EW1 2022 �itR!@ pf Florida -Notary u Commission # GG 2430 (Signat of Notary Publi VOW, C mission ExpireCommission Commission No. 4 �eag jy 30, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.