HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
w i
RECEIVED
s :.. .IAN2 2020
Building Permit Application
Permittin9 De
Planning and Development Services St. �uciP span rn
Building and Code Regulation Division
ent
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: 9900 S. Ocean Dr.#209,Jensen Beach, FL 34957 j
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II-UNIT 209 AND UND SHARE IN COMMON ELEMENTS(OR 3528111260)
i
Property Tax ID#: 4502-503-0023-000-4 Lot No.
i
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace sliding glass doors with hurricane impact sliding glass doors
CONSTRUCTION INFORMATION: j
Acid itiona workto e e orme under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator E] Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 13,050 Utilities: _Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR: .
Name Kathleen M Viola Name: Janet Milici
Address: 8529 110th Ave Company:, Natural Flow, Inc.
City: Pleasant Prairie State:Wl "'Address: 391 NE Baker Rd.
Zip Code: 53158 Fax: City: Stuart State:FL
Phone No.262-945-6788 Zip Code: .34994 Fax: 772-3344078
E-Mail:ksviola@yahoo.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
1
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
I
I I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:Janet Milici
Address: Address:
City: State: City: smart 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.
Signatua of Ow er/Lessee/Contractor as Agent for Owner Si nature of ontractor/License Holder
COUNTY OF
STATEORIDA �I 1 COUNTY OFSTATE OF ORIDA
N
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thislaaJday of S A0Q&-J ,20RQ by this��day of Qidtirifi.g 202L by
�clule MI li u i t,'i L f;1
Name of person making statement Name of per on making statement
Personally Known)(OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I
i
(Signature of N Dalry,, ubli State of Florida) (Signature of N "�a"" Pu i -State of Florida)
Commission No.(/`lJ� •o No(EV84bhc State of Florida ommission No.t 5 Wbtic State of Florida
+ Donna Jayne Hall (�pn'n'a Jayne Hall
My Commission GG 207585 _ My Commission GG 207585
i7a mor E4
Expires 04/1512022 4a pdP 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