HomeMy WebLinkAboutBuilding Permit ApplicationDate: JANUARY 23, 2017
Permit Number:
XMM
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2.300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 10310 S. OCEAN DRIVE, UNIT #506, JENSEN BEACH, FL 34957
051
Legal Description: OCEAN RISE CONDOMINIUM APT 506 AND UNDIV SHARE IN COMMON ELEMENTS (OR 1326-2031)
Property Tax ID #: 4511-515-0044-000-2 Lot No.
Site Plan Name: Block No.
Project Name: SPIOTTO RESIDENCE REMODEL
Setbacks Front Back: Right Side: Left Side:
lafffluwalj MOTA1041112
SHOWER PAN, SHOWER VALVE & DRAIN, NEW WATERLINES & DRAIN FOR 2ND SINK,
INSTALL 5 NEW SHOWER VALVES, INSTALL 1 NEW TOILET, INSTALL 2 NEW SINKS/FAUCETS,
TRIM OUT SHOWER
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit- check all apply:
EIHVAC Gas Tank E]Gas Piping Shutters E]Windows/Doors
11 Electric Plumbing OSprinklers � Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2900.00
Sq. Ft. of First Floor:
Utilities: []Sewer E]Septic Building Height:
OWNER/LESSEE:
Name ERNEST/SANDRA SPIOTTO
Address: 10310 S OCEAN DR #506
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: DAVID HUSNANDER, JR.
Company: DAVE'S PLUMBING, INC.
Address: 499 SE SEVILLE STREET
City: STUART State: FL
Zip Code: 34994 Fax: 772-288-7127
Phone No. 772-287-8128
E -Mail: DAVESPLUMBING499@HOTMAIL.COM
State or County License: CFC -051625
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LACI INFORMATION:
DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE FOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Ducie County makes no representation that is granting a permit will 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 hereby agree 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 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
improvemen our prop h Notice of Commencement must be recorded and pp -sled on the jobsite
before irst inspect' ., f y u intend to obtain financing con with d a orney before
corryrfencing wor e ,o'r i g your Notice of Commencem.
s
Signature of* essee/Contractor as Agent for Owner Signature of ContractorJLicense Holder
The f r g* instr iment was acknowledge before me
this c_, day of ,_. ' 0--1 20 t f by
a
(Name of person acknowledging)
§ 4 F
Ot
'
(Signature of Notary Public- State of Florida )
Personally Known ProdU0ditI@4flTQ1 )n _
Type of Identification Pr NOTARY PUBLIC
STATE OF FLORIDA
Commission No. CW43591
�NeE 19�R' Expires 12/8/2020
Revised 07/15/2014
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
23RD JANUARY -
this 1 _day of , 20 € s by
DAVID HU5NANDER. JR.
(Name of person acknowledging )
(Signature of Notary Public- State of Fj'on a }
Personally Known x OR Produced Identification _
Type of Identification Produced
t A. Doreen Langford
Commission No. 4� NOTAAVO�1BLIC
o
—STATE OF FLORIDA
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�s4cE 191 Expires 12/8/2020
SUPERVISOR PLANS (VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW I REVIEW REVIEW REVIEW