HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 15 2 `� 0 r '�(�
11
e�
Building Permit Application '°er,�; 2
Planning and Development Services S' ;;'qo@p ?
Building and Code Regulation Division too,
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 207 Jensen Beach, FL 34957
Legal Description:
OCEANA OCEANFRONT CONDOMINIUM ONE APT 207 AND .7875 PERCENT INT IN COMMON ELEMENTS (OR 3573-2091)
Property Tax ID #: 4502-502-0024-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side: Left Side:
Replace sliding glass doors with hurricane impact sliding glass doors
OHVAC. L, Gas Tank
Electric F]Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 12,750
unoertnls permit —cnecK all apply:
Gas Piping _ Shutters
Sprinklers Generator
S Ft. of First Floor:
UtilitiesSewer Septic
Lot No.
Block No.
QWindows/Doors .
Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name George S Ruda
Name: Janet Milici
Address:4048 Palisades Main NW
Company: Natural Flow, Inc.
City: Kennesaw State: GA
Address: 391 NE Baker Rd.
Zip Code: 30144 Fax:
City: Stuart State: FL
Phone No. 678-520-9546
Zip Code: 34994 Fax: 772-334-1078
E-Mail: rudag@bellsouth.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 Mid
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 vour Notice of Commencement.
Signat re of O er/ Lessee/Contractor as Agent for Owner
Signatu a of Cont ctor/License Holder
STATE FLORIDA I
STATE OF FLORIDA
-
COUNTY OF ���I Iy
COUNTY OF
The f�roing instrument was acknowledged before me
this .
' day of Ll%{AaOt , 20a by
The forgoing instrument was acknowledged before me
this Yf L day of3 C0YI69Y? , 26 d by
f n1 1 G%
Aa,u_�ti fl 6 i I'G[
Name of person making statement
Name of person making statement
Personally Known _ X OR Produced Identification
Personally Known _ OR Produced Identification
Type of Identification
Type of Identification
Produced
AW� 44m i
Produced
-Aft ri Afumu
Signature of No ry ubl - State of Florida
ISlgnature of No ry ublia State of Florida)
Commission Nod-O 1S +0a� (561 4 Public State of Florida
i
C mission No aUZ��5' ►,, No(aW6A)ilic State of Florida
a Donna Jayne Hall
My Commission GG 207585
04/1512022
= Donna Jayne Hall
v�r My Commission GG 207585
7a no Expires
�+�
4 cr Expires 04/1512022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17