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
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