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 1108, Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1108 AND .7875 PERCENT INTIN COMMON ELEMENTS (OR 4038-58)
Property Tax ID #: 4502-502-0115-000-3
Site Plan Name:
Project Name:
Setbacks Front Back
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
Replaceindows and sliding glass doors with hurricane impact windows and sliding glass doors
3
7 -
CONSTRUCTION
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit —check all appy:
HVAC Gas Tank F]Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 16,995
SFt. of First Floor: _
Utilit ies:cn Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Louis Lanni
Name: Janet Milici
Address: 37 Columbine LN
Company: Natural Flow, Inc.
City: Kings Park State: NY
Zip Code: 11754-3943 Fax:
Phone No. 631-681-6143
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: Lanni728@optonline.net
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 52500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW! INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR -NOTICE OF COMMENCEMENT."
Signat re of 0 ner/ Lessee/Contractor as Agent for Owner Sig atu?FR
r/License Holder
STATE FLORIDA yin . II STA - 11
COUNTY OF 1►`� N COUNTY OF MAP-` I N
The forgoing instrument was acknowledged before me
this May of ir'1 Z.c�-� 20ZO by
C -f,
Name of person making statement.
Personally Known -- OR Produced Identification
Type of Identification
Produced
(Signature of Notary bl-i ��Stat of Florida )
Commission No. � ft) s l
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
The forgoing instrument was acknowledged before me
thi _ 1ay of 2020 by
Name of person making statement.
Personally Known _ OR Produced Identification
Type of Identification
Produced
(Signature of Notary ub c- Sta4 of Florida )
r7 4,! /
S n No. ` O err •o(Sry Public State of F
? 0 Donna Jayne Hail
Notary Public State f(hbiQlt�115
Donna Jayne Hal
My Commission GG 207585
FYnirac nAlIC11
or
�p VEGETATION S
REVIEW REVIEW I REVIEW REVIEW
04/15/2022
REVIEW