HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l Jnl��e7� Permit Number:
033
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division �` �� 9 F
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residenlik P
PERMIT APPLICATION FOR:
Window/door
PROPOSED IMPROVEMENT LOCATION:
Address.
• 9940 S Ocean DR Apt 1105 Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1105 AND.7120 PERCENT INTIN COMMON ELEMENTS
Property Tax ID#: 4502-502-0112-000-2 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 to
— e--e orme under this permit–check a —appy:
❑HVAC 0 Gas Tank ❑Gas Piping Shutters
rs ❑❑Windows/Doors
11 Electric ❑Plumbing []Sprinklers' OGenerator Roof
Roof pitch
Total Sq. Ft of Construction: Sttj of First Floor:
Cost of Construction:$ 12,600 Utilities:U Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Kimberly Johnson Name: Janet Milici
Address:9940 S Ocean DR Apt 1105 Company: Natural Flow, Inc.
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State:FL'
Phone No.703-969-1965 Zip Code: 34994 Fax: 772-334-1078
E-Mail: 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 Milici
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 recording our Notice of Commencement.
Signatua of Ow er/Lessee/Contractor as Agent for Owner Si ature o ontractor/License Holder
STATE LORIDA ^ tt STATE OF FLORIDA
COUNTY OF ffilkLTv
I) COUNTY OF 1AW IIJ
The forgoing instrument was acknowledged before me The fo�going instrument was acknowledged before me
this, day of�j 260 by this&-!!_day of (tomt,16-(-4 2090 by
Name of person making statement Name of person making statement
Personally Known mac_OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
-D- 2A 'Acl, _Iuk�JLl `l�vt�
(Signature of Notyj kubligi State of Florida) (Signature of N to Pu c-State of Florida)
Commission No.A 76 t o mission No. (Seal)
eT►0)7,
Public State of Florid
? Jayne Hall
sssion GG 20758 �'oi�
No
Public State of Florid
0;1%. 04H F02922 C mmission GG 207585
REVIEWS FRONT NS VEGETATION JE4LTtd.TLEM'YP".r"sR4AtliiftVE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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