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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date�j • �(° , q Permit Number: ® 19 3
° RECEIVED
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Building Permit Applicatic n
Planning and Development Services DEC 1 0.2019
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 TYPE: DOOR REPLACEMENT
PROPOSED'IMPROVEMENT LOCATION:
Address: 7380 S OCEAN DRIVE, JENSEN BEACH
Property Tax ID#: 3522-607-0000-000-5 Lot No.
Site Plan Name: Block No.
Project Name: DUNE WALK CONDOMINIUM
DETAILED DESCRIPTION OF WORK:
REPLACE 1 EXTERIOR DOOR WITH PGT IMPACT DOOR
`CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 3,402.65 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DUNE WALK BY THE OCEAN CONDOMINIUM ASSOCIATION Name:ROY MICHAEL JOHNSTON
Address:7380 S OCEAN DRIVE Company:STUART PAINT&SUPPLY
City: JENSEN BEACH State:_ Address:657 NE DIXIE HWY
Zip Code: 34957 Fax: City: JENSEN BEACH State:FL
Phone No.772 341-8378 Zip Code: 34957 Fax: 772 334-2705
E-Mail:dunewalkoffice@comcast.net Phone No 772 334-2700
Fill in fee simple Title Holder on next page(if different E-Mail mjohnston@thebuildersstore.net
from the Owner listed above) State or County License CGC 1517946
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. ]I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOINT F COMMENCEMENT."
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Signature of Owner/Less ee/C q ntractor as Agent for Owner Signature Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID/�,��,
COUNTY OF '11—M ouj_.c COUNTY OF
The forgoing instr ment was acknowledged before me The forgoing instrument was ack owledged before me
this ( day of 20� by this L_day of 4 20H by
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Name of person making statement. 4 Name of Verson mak
ingnt.
Personally Knowny/OR Produced Identification Personally Known Identification
Type of Identification Type of Identification
Produced Produced
�pV a� Nota P lic State of Florl a
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(Signature (Signature of N ic-®41%a"Ission
.n i n ne `DiaCom GG 088968
Commission No. (Seal) Commission N( ires06mrz02CSeal
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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