HomeMy WebLinkAboutBuilding Permit Application it
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ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED J �p /,
Date: !� 1 1 Permit Number: L"l/�00-'' V600s
RECEIVED
Building Permit Application AUG 2019
Planning and Development Services permitting Department
Building and Code Regulation Division st.Luae count"
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
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Address:,3100 N Highway Al Apt 904 Fort Pierce, FL 34949 j
Legal Description: SANDS ON THE OCEAN-SECTION 1-UNIT 904(OR 3177-755)
Property Tax ID#: 1425-606-0038-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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Replace sliding glass door with hurricane impact sliding glass door
CONSTRUCTION INFORMATION:
Additional work toe e Orme under this permit-check a appy:
HVAC 11 Gas Tank []Gas Piping 11 Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq Ft. of First Floor:
Cost of Construction:$ 5,650 Utilities: ll Sewer El Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Nonn Stevenson Name: Janet Milici
Address:3100 N�Highway AIA Apt 904 Company: Natural Flow, Inc. ;I
City: Fort Pierce State:FL Address: 391 NE Baker Rd. j
Zip Code: 34949 Fax: City: Stuart State:FQ
Phone No.772-242-1157 Zip Code: 34994 Fax: 772-334-1078
E-Mail:normwstevenson@gmail.com Phone No. 772-334-1011
Fill in fee simple Title Holder on next page(if different E-Mail: Janet@naturalflow.net
from the Owner listed above) State or County License: SCC 131151263 j
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:Janet Milici
Address: Address:
City: State: City: Stuart State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:391 NE Baker Rd. Address: !
City: City:
Zip: Phone: Zip: 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 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,
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
commencinp,work or recording our Notice of Commencement.
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S' nature Owner/Lessee/Contractor as Agent for Owner Sighature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORID/
COUNTY OF S1. LUQIL- COUNTY OF �1 . LO Ir l-
Theor ding instr meet was cknowledged before me The forging instr ment was acknowledged before me
this day of 511 20 Q by this day of f 20_ft by
vy) II �C_i 34-
ry �l � lU
Name of person making statement Name of person making statement
Personally Known Y OR Produced Identification Personally Known X—OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Am� L
ignature of Nota '`:►J lic- ate of Florida) (Signature of Not ubli State of Florida)
Commission No.9v I�6� owoi,�Sealbtary Public State of F �'apm ission No. � I,
F Donna Jayne Hall t. Not "gic'State Florida
moo• My Commission GG 207 es = �' Donna Jayne all j I
y� Expires 04/15/2022 ::. MyCommissiExpires l 022 2 7585
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION EA URT E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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