HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' �3• �� Permit Number:
RECEIVED
Building Permit Application NOV 13 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
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: 9940 S OCEAN DR 104,Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 104 AND.7875 PERCENT INT IN COMMON ELEMENTS(OR 1687-914)
Property Tax ID#: 4502-502-0011-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace sliding glass door with hurricane impact sliding glass door
CONSTRUCTION INFORMATION:
Additional work toe nerformed under tispermit—check all appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers 0 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$-5,475 Utilities:Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR
Name George Galland Name: Janet Milici
Address:9940 S OCEAN DR 104 Company: Natural Flow, Inc.
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.772-678-1633 Zip Code: 34994 Fax: 772-334-1078
E-Mail:2gallandlsnl@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
1f 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.
S gnature o wner/Lessee/Contractor as Agent for Owner Signatur of Co actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4,4�hj day of 01(1; K-9 ,20 Ik by this 64h day of NQVe#I3 eP ,20.ff by
Name of person making statement Name of person making statement
Personally Known_X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notry ub' - ignature of No ub -State of Florida)
'� Notary Public State of Florida
Commission No0�7��5 tj�: e! Jayne Hall mmission No7585 "TURTLE
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�:. y Commission GG 207585
?o,nod Expires 04/15/2022 54REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIONECOUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17