HomeMy WebLinkAboutPfund REVISED APPLICATION 2ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
OWN
__. 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: 7370 S. Ocean Dr., #B-716, Jensen Beach, FL 34957
Legal Description:
DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 716 (OR 1009-159.1564-2102; 3602-911, 914)
Property Tax ID #: 3522-607-0096-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED OESCRIPTI04,01F WORK:
Replace 2 sliding glass doors with 2 hurricane impact sliding glass doors
C0NSTRA CT,1,0 1NNFORiMATI ON:
itione wor to a per orme un er this permit — c ec a appy:
❑_ HVAC Gas Tank []Gas Piping _ Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator E]Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 12,500 Utilities:cn Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Pelican House LLC
Name: Janet Milici
Address: 2689 SE Gowin DR
Company: Natural Flow, Inc.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E -Mail:
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 KLLUKUtU lvoilce or LUmmenLeiiicna
CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY:
r W......._ , _.
DESIGNER/ENGINEER:
Not Applicable
Name:
Address:
City: State:
Zip: phone
_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 391 N Baker Rd.
City: phone•
— Not Applicable
Name: Janet Mi :
Address: State: —
City: stuar!—
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: _____-__-___ Phone:
Zip:
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..
applicable a Home Owners Association rules, bylaows deed foroany restrict ons wh crestrict
rmay apply ibit such
St. Lucie County makes aotrepresentation that is granting a permit will authorize the ermit holder to build the subject structure
ur
which r .conflict with y pP
structure. Please consult with your Home Owners Association and re Y
In consideration of the granting of this req Floe requested permit,
Bu Iding Codes by agree
thatucie will,
i Amendmentsall respects, perform the work
in accordance with the approved plans,
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
in twice for
WARNING TO OWNER: property.
AeN°otiice of Commenord a Notice cementt must be recordedommencement and in post d ongthe jobsite
improvements to your prop y
before the first inspection. If you intend ioeobtain
of Commencement.isuit with lender or an attorney before
commencingwork or recording your Nit _
Signat a of O er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF tY)rn � 1 0
The forging instrument was acknowledged before me
thisj.�L day of 20 0 by
t (,l nil (/�11rc l
Name of person making statement
Personally Known OR Produced Identification _
Type of Identification
Produced
Aw
(Signature of Not blit- State of Florida )
Commission No. Notary Public State of FMc
J �� Donna Jayne Hall
My Commission GG 207:
REVIEWS I FRONT T'ZONINU 3urREVIEW REVIEW
COUNTER I
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of C "tractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument m nt was acknowledged before me
this .� day of �► L _, 20 -i GG by
Name of person making statement
Personally Known _V OR Produced Identification
Type of Identification
Produced
(Signature of Nota pu lic- S to of Florida )
i
r ►4, (S��ry Public State of
ission No. s Donna Jayne Hall
My commission GG 2
M3i,w,, • Expires 0411 512 02 2
N
OSS VEGETATION SEA REVIEW TURTLE
EVEWLE MAE EROVE
REVIEW REVIEW