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 Residentia
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
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: T Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 2 windows with 2 hurricane impact windows
CONSTRUCTION INFORMATION:
Lot No._
Block No.
Additional work to!!Zs
rme under this permit — check all apply:
HVAC Tank F]Gas Piping _ Shutters Q Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,570
SCI.
of First Floor:
Utilities: 0Sewer ❑Septic Building Height:
OWNER/LESSEE:
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: Janet@naturalflow.net
E -Mail: todbatson@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: SCC 131151263
If value of construction is �zsuu or more, a KtLLJKU[U IWuce uI -y.. — -
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: — Not Applicable
Name: Janet Milici
Address:
Address:
City: State:
Zip: Phone
City: Stuart State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 391 NE Baker Rd.
Address:
City:
City:
Zip: Phone:
_J
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
tr�ucture. Please consult withpyourHlome Owners Association and review deed for any restrictions which may ct applyhibit 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.
Signat a of 0 er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA , tt
COUNTY OF w ANTI N
The for!Ving instrument was acknowledged before me
this � day of A-i�Zi L - 20A by
i C_,
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Sign ture of C/ntractor/License Holder
STATE OF FLORIDA . I
COUNTY OF M�N
T�
The forkoing instrument was acknowledged before me
this l��day of AXIL 20 6 by
� )co Vii' (C 1
Name of person making statement
Personally Known )( OR Produced Identification
Type of Identification
Produced
Inature
dX
of Not blic-
tate of Florida)
(Signature of Nota"P lic-
ate of Florida )
Commission No,,-M•5� S
�.,0155
e I M
C mission Nor,
Florida
v, Nota Public S ate
ys+•a` Notary Public State of
Hall
Donna Jayn^• Hall#'
F, Donna Jayne
My Comm ss .:.. GG 207585
My Commission GG 207585
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ow 1512022
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Of F
REVIEWS
FRONT
ONING
SUPERVISOR
PLANS
REVIEW
VEGETATION
REVIEW
REVIEW
REVIEW
COUNTER
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17