HomeMy WebLinkAboutAPPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY
EL.O R I D
Building Permit Application
Planning and Development Services
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: 8800 S Ocean Dr #606 Jensen Beach, FL 34957
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM II UNIT 606 (OR 1341-1003)
Property Tax ID #: 3535-603-0050-000-8 Lot No.
Site Plan Name: Island Dunes II 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 be
HVAC -
ierformed under
Gas Tank
this permit - check all
Gas Piping
;hat
-
apply:
Shutters / Windows/Doors
Electric Plumbing F] Sprinklers - Generator Roof Roof pitch
Total Sq. Ft of Construction: S. Ft. of First Floor:
Cost of Construction: $ 49,800 Utilities: - Sewer Building Height: -Septic
OWNER/LESSEE: CONTRACTOR:
Name Laura A Oleszkowicz Name: Janet Milici
Address: 8880 5 Ocean Dr #1410 Company: Natural Flow, Inc.
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State: FL
Phone No. 772-229-9711 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: jaflet@flaturalfl0w.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.
ture of Notar ic- State of Florda
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Name:
Not Applicable
Name:
.Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: - Not Applicable BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City:
Zip: Phone:
Signature(of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA -
COUNTY OF fl',k1.i'( t.J
The inginstrument was acknowledged before me
this day of , 20 2-0 by
-\GtAA- I/Y\
Name of person making statement.
Personally Known
Type of Identification
Produced
ignature o' Contractor/License Holder
STATE OF FLORIDA
COUNTY OF_ IV1A411I J
The fortoing instrument was acknowledged before me
this 3 day of (fl 412-L W , 20 ?,0 by
,\Cu.eA ('YIc-i
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
o
Public State of FlQria
My Commission GO 207 585
nnaJayneHafl om
Expires 04/1512022
REVIEWS FRONT
COUNTER
ONIN
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2ff
OR Produced Identification
Commission No. 9-07,5'95-
(Signature of Notary Jblç- Ste of Florida
ssion NO. O7S 2-~; /it 5
5Pubi.
5iie of Florid
Jay'.: Hall
My Commis." GO 20765
Ex.ires 04/1