HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: k�--,x�-�\-,�.,a Permit Number: �adl-d-13�
gECEIl1ED
Building Permit Application
Planning and Development Services �A� � ' %�1
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 County,Permitting
ST wr;i;
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X R _
PERMIT APPLICATION FOR: Window/door
PROPOSED IM,P.ROVEMENT LOCATION:
Address: 11000 S Ocean Dr Apt 5B Jensen Beach, FL 34957
Legal Description: VILLA DEL SOL-CONDOMINIUM UNIT BAND UND SHARE IN COMMON ELEMENTSTRACT 5(OR 549-1409;3261-1739)
Property Tax ID#: 4512-701-0066-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
OETAILED DESCRIPTION OF WORK
Replace sliding glass door with hurricane impact sliding glass door
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—c ec a tat appy:
HVAC ' E]Gas Tank Gas Piping ❑Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6,680 UtilitieslnSewer D Septic Building Height:
OWNER/LESSEE: ,CONTRACTOR':. '
Name E Miriam McCue Name: Janet Milici
Address:11000 S Ocean Dr Apt 513 Company: Natural Flow, Inc.
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.772-529-0472 Zip Code: 34994 Fax: 772-334-1078
E-Mail:Jackrico_gage@comcast.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:
Address: Address:----
City:
ddress:____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 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.
Signatu a of Ow er/Lessee/Contractor as Agent for Owner Signat re of C 'actor/License Holder
STATE OF FLORIDAyin STATE OF FLORID r
COUNTY OF I► U I )Q COUNTY OF �'�)d•�
The fP rgoing instr ment was acknowledged before me The forgoing instrqment was acknowledged before me
this Xo day of .3&ALAfLA 20 90 by this day of _VLA � .20o-16 by
-30-Ae* l i u �G1�1 C�' 0A,% ( ,C'
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Knownc_OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Not cbblli -State of Florida) (Signature of Nota u lic-§Lke of Florida)
Commission NCommission Nu e�
Nota h State of Florida
10%�+q,_ Notary Public State of Florida Donna Jayne Hall
F Donna Jayne Hall .�__ My Commission GG 207585
FIR er3 28j'585
Expuea G4 t 5,2Q22
REVIEWS FRONU. PLANS VEGETATION S A TUR LE A GRO E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17