HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: as Permit Number:
RECEIVED-
Building Permit Application JAN 312020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
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: 10680 S OCEAN DR 702,Jensen Beach, FL 34957
Legal Description: ISLAND CREST CONDOMINIUM UNIT 702 AND UNDIV SHARE IN COMMON ELEMENTS(OR 3714-1746)
Property Tax ID#: 4511-516-0069-000-6 Lot No.
Site Plan Name: Island Crest Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DE AILED DESCRIPTIONrOF`WORK. fx
Replace windows with hurricane impact windows
CONSTRUCTIO�1''INEORMATION:-
Additional ''INFORMATION:-work to eperformed under tis —checkpermit a appy:
❑HVAC be
❑Gas Piping Shutters Windows/Doors
❑
❑Electric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4,200 Utilities:Cn Sewer Septic Building Height:
01NNER/LESSEE: CONTRACTOR:
Name Margaret A Marcinek Name: Janet Milici
Address:10680 S OCEAN DR 702 Company: Natural Flow, Inc.
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.412-582-1059 Zip Code: 34994 Fax: 772-334-1078
E-Mail:Pegml5401@gmail.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
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: State: City: atoms 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.
hLQ--- /____
.
Signatu a of Ow er/Lessee/Contractor as Agent for Owner sigrkte of C tractor/License Holder
STATE OF FLORIDA • STATE OF FLORIDA
COUNTYOF f� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instr ment was acknowledged before me
this day of J GIv .20 by this day of llQ.t'(. 20�b by
0_ae_+ M`I III-,
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 Produced
(Signature of to P ic-State of Florida) (Signature of No ubl State of Florida)
v�°]�� �'�. !$ ry Public State of Flod p�075Ff ► �� �
Commission No. �` �O ission NO. .blit State of Florida
Donna Jayne Hall Donna Jayne Hall
My Commission GG 23750 5 :, • My Commission GG 207585
?an Expires 0415!20224s; Expires 04/15/2022
�:
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
L_ J