HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I I
Date: Permit Number: 0 19,
RECEIVED
Building Permit Application NOV 0 5 2019
Planning and pevelopmentServices
Building and Code Regulation Division ST. Lucie County, Permitting.
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 LQCATIC}N .,
Address: 10600 S. Ocean Dr.,#303 Jensen Beach, FL 34957
Legal Description. Oceana S. Condo II, Unit 303 and Undiv share in common elements(or 363-2760; 3608-1183)
Property Tax ID#: 4511-517-0030-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
. . ,,. ryx&:
7 "1P iR ay2
DT1IL�D DE CRIPTIQN QF WOR f �
x � a
P z
Replace windows and sliding glass doors with hurricane impact windows and sliding glass doors
Ct3NSTftUCTIGN INFORMATION g
E�
Additional work to be nerrormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 15,556 Utilities:cnSewer Septic Building Height:
�` .� € T� 5� Y a v z�'24A Fes` `i
(E00
Name
Ay �TQR �y .^ r ,_ ..
ONTRAC
. �� . n��_. ., ,a ;. .
Name Nick Macchia Name: Janet Milici
Address:10600 S. Ocean Dr.,Apt. 303 Company: Natural Flow, Inc.
City: Jensen Beach State:FIL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State.FL
Phone No.631-355-2582 Zip Code: 34994 Fax: 772-334-1078
E-Mail:nickmacchia@comcast.net 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:Janet Millci
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
commencing work or recording our Notice of Commencement.
Signa ure of net/Lessee/Contractor as Agent for Owner tv
Contractor/License Holder
STAT FLORIDA STATE OF FLORIDA
COUNTY OF A21- 1 til COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was/acknowledged before me
this(r day of �3e2 ,20_ by this±L day of 0E.- 6ee— ,20a by
Name of person making statement Name of person making statement
Personally Known)—OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
` OA
(Signatur f Notary Public-State of Florida) (Signature of Notkeub[W State of Florida)
Commission No.o 5 mission No. C7S$5 �..�� (SOA Public State of Flori a
_�•&� Notary Public State of Florid + Donna Jayne Hall
Donna Jayne Hall My Commission GG 2075
My Commission GG 207585 p off' Expires 04/1512022
W M1
REVIEWS FRONT S LANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17