HomeMy WebLinkAboutAPPLICATION GoldmanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
J _
NALMW 0
Lna
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 503, Jensen Beach, FL 34957
Legal Description:
OCEANA OCEANFRONT CONDOMINIUM ONE APT 503 AND .7875 PERCENT INT IN COMMON ELEMENTS (OR 652-589: 654-2438: 1246-1211)
Property Tax ID #: 4502-502-0050-000-9
Site Plan Name:
Project Name:
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace windows with hurricane impact windows
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Wdditional work to e er orme un er this permit— check all apply:
❑_ HVAC 11 Gas Tank Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing ❑ Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,450
S Ft. of First Floor:
Utilities:cn Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JoAnne Goldman
Name: Janet Milici
Address:2970 NW Crystal Lake DR
Company: Natural Flow, Inc.
City. Jensen Beach _ State: FL
Zip Code: 34957 Fax:
Phone No. 631-921-8178
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E-Mail:jgclean5@gmail.com
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 KtLUKUCU rvouce of wnnnciwclI-- -.4—
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:_
Address:
City:
Zip:
Phon
State:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Kamp.
Address:
r`ir%r•
Zip: Phone:_
MORTGAGE COMPANY:
Name:
Address:
Citv-
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_-__
Address:
City:
Zip: Phone:
.,i, ..r,4 1t-,Iloti— x inriirataPd
OWNER/ CONTRACTOR AFFIDVIT: Application is nereoy mace to OULdlll a Ncl 1111Lu v••� .-__.._.__
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
which
ructurenPlease conlsultwithpyolurr Home Owners Association tlandrreview your deor ed for any restrictions wh ch restrict or 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 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 Own r/ Lessee/Contractor as Agent for Owner
STATE O ORIDA
COUNTY OF —
The
The forgoing instru t ent was acknowledged before me
this IJ&clay of _ l_L— 2a2b— by
3"e+
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
ature of
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NJayne Hall
Public State of
=Commission No.My Commission GG 2
,'�oiM1o� Expires 04/1512022
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sig atur?Cntractor/License Holder
STATDA
COUNTY OF _(V1y-TItJ -
The forgoing instr ent was acknowledged before me
this k;*day of L- 20Z) by
CA V i V1GI
Name of person making statement.
Personally Known X _ OR Produced Identification
Type of Identification
Produced
Tre of Not'XOP blic- State of Florida )
la 1
Com ission No. 5�_ ldl �I Sel��ary Public State of
Donna Jayne Hall
My Commission GG 2
SUPERVISOR PLANS VEGETATION S
REVIEW REVIEW _ REVIEW _ REVIEW_ REVIEW