HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r h
Date:��•��J '�� Permit Number: 1 . 1 ��
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Lucie
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X RLesien:7U
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 10600 S. Ocean Dr.,#508,Jensen Beach, FL 34957
Legal Description: Oceana South Condo II Unit 508 and undiv share in common elements
Property Tax ID#: 4511-517-0055-000-8 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-il*arA windows and sliding glass doors
MA 'I ry P(LL:�
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CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 12,200 Utilities: Sewer E]Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Julianne Osborne Name: Janet Milici
Address:10600 S.Ocean Dr.,#508 Company: Natural Flow, Inc.
City: Jensen Beach State:FL, Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.317-414-1109 Zip Code: 34994 Fax: 772-3341078
E-Mail:osbornefaith@me.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
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 Mlllcl
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 thepermit 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 Mcording your Notice of Commencement.
Sig ature of wner/Lessee/Contractor as Agent for Owner Sign ture of C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDAM�
COUNTY OF IJ COUNTY OF l► r-t0
The froing instrument was acknowledged before me The forgoing instrument was,acknowledged before me
this day of�GT0 2 .20,1 by this day of 20 by
i c► �Gl.l'l��' i�Y11 L I�i
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known ( OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of N to PuRic-State f=IST ) Notary Public State of 1 1,410na re of Not ry ublic-Stat f I r'
Donna Jayne Hall �7 t� n, N Public State of Flo id
`505sdl)AAy commission GG 20 ��m sion NO. `�o S ° Qna Jayne Hall
Commission No. + S
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Expires 04/15/2022 y
� My Commission GG 207
4aao� Expires 04/15/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17