HomeMy WebLinkAboutAPPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
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:
oAAYo«• 9500 S Ocean DR Apt 801 Jensen Beach, FL 34957
Legal Description: ISLANDIA II CONDOMINIUM UNIT 801 (OR 4041-1207)
Property Tax ID #: 4502-602-0065-000-4
Site Plan Name: Islandia II
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION QF WORK:
Right Side
Left Side:
Lot No._
Block No.
Replace sliding glass doors with hurricane impact sliding glass doors and 2 panel fixed glass
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all appy:
❑_ HVAC Gas Tank FIGas Piping _ Shutters Q Windows/Doors
❑ Electric ❑ Plumbing Sprinklers E]Generator El Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 29,250
S Ft. of First Floor: _
Utilities. Sewer ESeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark Reese
Name: Janet Milici
Address: 9500 S Ocean DR Apt 801
Company: Natural Flow, Inc.
City.. Jensen Beach state: FL
Zip Code: 34957 Fax:
Phone No. 413-531-2201
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E -Mail: Mreese7607@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Janet@naturalflow.net
State or County License: SCC 131151263
If value of construction is �isuu or more, a Ktt,vnutu rvuuc.e vi %.U1T1111C1MC Mc11L ,� .may,........
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
— Not Applicable
7MORTGAGE COMPANY:
Name:
— Not Applicable
Address:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
State:
Not Applicable
City:
Zip: Phone_—__
FEE SIMPLE TITLE HOLDER:
State:
— Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the wurK aiiu iiutaiiaLlU" as l
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
structure.,Pleasecconsult with pyourr Hlorne Owners Associationtiandrreviewyy your deed or any aws or an restrictions nts wh restrict or
apply.
such
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."
1
Sig ature of O ner/ Lessee/Contractor as Agent for Owner Sig ature of Co tractor/License Holder
STATE F FLORIDA STATE FLORIDA
COUNTY OF— COUNTY
The forWing instr rnent was acknowledged before me
this(i� day of 6,r �, 20 ao by
J%ek VWs 6 `;
Name of person making statement.
Personally Known X—OR Produced Identification
Type of Identification
Produced__ ---
The forgoing instrument was acknowledged before me
this Lq_-day of A4 -A 20 zo by
1 A� L i
Name of person making statement.
Personally Known _x OR Produced Identification
Type of Identification
Produced --
(Signature of Nota Pu lic- ate of Florida) Signature of Nota P lic tate of Florida )
Commission No., 5 S S ) mission No. �� ��� (Seal)
'►+"a Notary Public State of Florida
----'-Donn Jayrte ttalF ---- -------------- — ota
• My Co mission GG 20758 ��� Pon a
REVIEWS FRONT o • Cfxpire OVIRR f6'ISOR I ANS i VEGETATION ErH!)NR.TLI�yC n
IEW REVIEW e p'r s
COUNTER }- - -- --- ---
DATE
RECEIVED -- - - -
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DATE
COMPLETED - - -- -- -