HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
i
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: 8750 S OCEAN DR 732, Jensen Beach, FL 34957
Legal Description: ISLAND DUNES CONDOMINIUM A UNIT 732 A/K/A ADMIRAL CONDOMINIUM (OR486-1426: 1157-1933)
Property Tax ID #: 3535-601-0032-000-0
Site Plan Name:
Project Name:
Setbacks Front_ Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace 4 sliding glass doors with 4 hurricane impact sliding glass doors
CONSTRUCTION INFORMATION:
Additional work to Bfji l'ormedunder this permit — check a
❑HVAC Gas Tank E]Gas Piping
11 Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 44,000
Lot No._
Block No.
Ulal apply:
_ Shutters Q Windows/Doors
E] Generator Roof Roof pitch
S Ft. of First Floor:
Utilities: Sewer F]Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Karen J Steiger
Name: Janet Milici
Address: 24959 Letchworth Rd
Company: Natural Flow, Inc.
City -Beachwood State: OH
Zip Code: 44122 Fax:
Phone No. 216-338-6569
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 52500 or more, a KtLUKutu rvonce o1 wnnnen�cn�c��� �y... ..•
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name: JanetMlllcl
Address: Address:
City: State: City: Stuart State:
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. conflict with
withpyourHome owners Association and reviewyyour deed for any restrictions which may apply 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
nein work or recording our Notice of Commencement.
re
STATE OF FLORIDA
COUNTY OFTll.�
as Agent for Owner
The forgoing instr nent was acknowledged before me
this J day of I L J 207-0 by
/�f �1�i'
Name of person making statement
Personally Known_ OR Produced Identification
Type of Identification
Produced
(Signature of No ry ubl - State of Florida )
Commission No. 75-
d'"`", (Sled4ry Public State of Ror
Donna Jayne Hall
My Commission GG 2075E
Expires 04/15/2022
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signat re of ntractor/License Holder
STATE OF FLORIDA
COUNTY OF ju ) )'J
The forgoing instrume t was acknowledged before me
this l_6± day c 20 .t by
I�nli I I C- i
Name of person making statement
Personally Known /� OR Produced Identification
Type of identification
Produced
—AnI+` ,
(Signature of No ubl State of Florida)
No. � 7 Seaqn Pubic State of
_ Donna Jayne Hall
< My Commission GG i
�isaM1' Expires 04/15/2022
SUPERVISOR
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