HomeMy WebLinkAboutBuilding permit applicationALL 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;
Address: 9940 S Ocean Dr Apt 110 Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 110 AND .8625 PERCENT INT IN COMMON ELEMENTS (OR 861-2271)
Property Tax ID #: 4502-502-0017-000-6 Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 1 sliding glass doors with 1 hurricane impact sliding glass doors
CQNSTRUCTI.ON 1NF3TION:
Additional worK to bertormed un er this permit — c ec a appy:
❑HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
11 Electric El Plumbing Sprinklers 1:1 Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 5,350 Utilities: Sewer 11 Septic Building Height:
OUIJEFSEE,:
CONTRACTOR:
Name William A Whiteford
Name: Janet Milici
Address: 9940 S Ocean Dr Apt 110
Company: Natural Flow, Inc.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 443-271-2312
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E -Mail: wwhitefo@verizon.net
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 �zsuu or more, a KtLUKvtLJ rvuuLe ui -4" .1 .
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ELEMENTAL CONSTRUCTION LIEN LAW IN
GINFR/ENGINEER: _ Not Applicable
Name:
Address: State:
City: phone
Zip:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address: 391 NE Baker Rd.
City:
Phone: —
MORTGAGE COMPANY' Not Applicable
Name. Janet Milici
Address: State: —
City: Stuart
Zip: Phone:
BONDING COMPANY: ___ Not Applicable
Name:
Address:
City:
Zip: __________— Phone:
Zlp.
FFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
OWNER/ CONTRACTOR A
I certify that no work or installation has commenced prior to the issuance of a permit.
permit will authorize the ermit holder to build the subject structure
St. Lucie County makes no representation that is granting a p p
which is in conflict with any applicable Home Owners Assoclatlon rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and 1 ee your
dee will, in all respects r any operform the work
ly
In consideration of the granting of this requested permit, I doh Y g
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
Notice
obtain f Comlmencement consult with lender or an attorney before
before the first inspection. If you intend
commencingwork or recordingour Not
of O er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA ' I
COUNTY OF m La I�
The forgoing instrum I s acknowle2dogbefore me
this jail day of
Name of person making statement
Personally Known \/ OR Produced Identification
Type of Identification
Produced
' lic-S to of
(Signature of Nota u Florida
11111 0% F11
Commission No. tft*))Publc StatNewv
of Florida
: Donna Jayne Hall
Myr ornmission GG 207585
Sid Expires 04115/2022
REVIEWS COUN ER REVIEW SUPERVISORT ZONING REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of C ntractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrm W-1--1
was acknowle2dOgbefore me
this � ay of �-11
_ ,JaIT Vr II1ILi
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature
te-
(Signature of Nota Pu ic- S to of Florida )
C mmission No. u`75 Yre�4 Notary Public State of
Donna Jayne Hall
.:. My Commission GG 2
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as
PLANS VEGETATION S L
REVIEW REVIEW REVIEW — REVIEW