HomeMy WebLinkAbouteraweALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
CONTRACTOR:
Date: Permit Number:
Name: Janet Milici
Address: 9940 S OCEAN DR 910
Company: Natural Flow, Inc.
Building Permit Application
Address: 391 NE Baker Rd.
Planning and Development Services
E -Mail: todbatson@gmail.com
Building and Code Regulation Division
E -Mail: janet@naturalflow.net
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: 9940 S OCEAN DR 910, Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 910 AND .8625 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0097-000-0
Lot No.
Site Plan Name:
Block No.
Project Name:
_
Setbacks Front Back: _ Right Side: Left Side:
FDETAILED DESCRIPTION OF WORK:
Replace windows with hurricane impact windows
[CO�N:S�TRUCT�109NINFORMATION:
Additional wor to a er orme un er this permit — check a appy:
E]
Q
❑_ HVAC Gas Tank FIGas Piping _ Shutters
Windows/Doors
Electric ❑ Plumbing Sprinklers Generator
Roof Roof pitch
Total Sq. Ft of Construction: S.Ft.. of First Floor:
11
Cnct of Cnnstruction: S 2,570 Utilities: LJ Sewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Tod Batson
Name: Janet Milici
Address: 9940 S OCEAN DR 910
Company: Natural Flow, Inc.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-828-9855
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E -Mail: todbatson@gmail.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 $2500 or more, a RECORDED Notice of Commencement is requireu.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name: Janet Multi
Address:
Address:
State:
City:
State:
City: Stuart
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
structure. turin con,e. Please consult w with applicable
lome Owners Association andtion rrev es,
your deed or any estrict that
wh ch may arict or l. prohibit 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 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.
Of 0 er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF i/h, TI
The forTing instrument was acknowledged before me
this � day of A -PQ L_ 20&-�b by
i
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Not blit- tate of Florida )
Commission No, 7 5�� S s Notal publ c nate
rr `f; Donna Jayne• -ian
My comm ss,... GG 207585
• F :nares nn, 15/2027
UPERVIS
REVIEWS I FRONT —1 2(5ffING
COUN ER REVIEW I S REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of C6ntractor/License Holder
STATE OF FLORIDA,'
COUNTY OF IM kJ
The forcing ins tr ment was acknowledged before me
this lr day oft
12026 by
Gw C+ ► I Ic c
Name of person making statement
Personally Known i< OR Produced Identification
Type of Identification
Produced
(Signature of Nota P lic- ate of Florida )
C mission No:/��$
try Notary Publtc State of Flo�da
'F Donna Jayne Hall
;� . _ . My Commiaslon GG 207585
REV EW I NS V EVIEWON REVIEW I REVIEW