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Date: Permit Number:
• ENOV
ED
Building Permit Application
Planning and Development Services
019
Building and Code Regulation Division ermitting
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:
Address: 8880 S Ocean Dr Apt 1410 Jensen.Beach, FL 34957
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM I UNIT 1410(PH 10)(OR 3202-1512)
Property Tax ID#: 3535-602-0132-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace windows and sliding glass doors with hurricane impact windows and-sliding glass doors
CONSTRUCTION INFORMATION:
Additional work toe e orme under is permit—check a apply:
HVAC 11 Gas Tank FGas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers E Generator Roof . Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 64,940 Utilities: Ln�Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Laura A Oleszkowicz Name: Janet Milici
Address:8880 S Ocean Dr Apt 1410 Company: Natural Flow, Inc.
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.772-229-9711 Zip Code: 34994 Fax: 772-334-1078
E-Mail:laokitten@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 Milld
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.
Signature f Owner/Lessee/Contractor as Agent for Owner Sign@tuA�ofCtractor/License Holder
S OF FLORIDA STATERIDA
COUNTY OF MAS-til COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,jOL'day of)CTb&!!e ,20jj_ by this JD:t-day of Q!m Se72- ,20J,� by
( \ r
�\ LA 19—A- ("i (i �)ma & I i
Name of person making statement Name of person making statement
Personally Known Y,`OR Produced Identification Personally Known )� OR Produced Identification
Type of Identification Type of Identification
Produced Produced
lvn� _bD4��AU4VJ_
(Signature of Not ubll -St e F (Signature of No Pub Ic-State of Florida)
�^ •6 Public State of Florid `�17/�S�tJ
Commission No. J 95 4%(SM Jayne Hall Co mission No. p� lV S
+� • My Commission GG 20758 V•t4 Notary Public State of Florida
`rya M1d� Expires 04115/2022 y =� `F
1a� Donna Jayne Hall
�� or Ex fres X4/15/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 4 RE W
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17