HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
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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
A l iS
Address: 10310 S OCEAN DR 508, Jensen Beach, FL 34957
Legal Description: OCEANRISE CONDOMINIUM APT 508 AND UNDIV SHARE IN COMMON ELEMENTS (OR 4119-1862, 1866)
Property Tax ID #: 4511-515-0046-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Benitez
Setbacks Front Back: Right Side: Left Side:
Replace 4 windows with 4 hurricane impact windows
N
Additional work to be pertormedun Pert is permit- c ec a apply:
Q
�HVAC LJ Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers E] Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
O
$ 5,850 Utilities:In Sewer Septic Building Height:
Cost of Construction:
n_5 11101 �� P
1"Y,
ii ,10
Name: Janet Milici
Name Tony P Benitez
Address: PO Box 775814
Company: Natural Flow, Inc.
City: Steamboat Springs State: CO
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 80477 Fax:
Phone No. 970-875-4962
Zip Code: 34994 Fax: 772-334-1078
E-Mail: TONYBENITEZ0312@GMAIL.COM
Phone No. 772-334-1011
Fill in fee simple Title Holder on next page ( if different
E-Mail: Janet@naturalflow.net
State or County License: SCC 131151263
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address: 391 NE Baker Rd.
City:
Zip: Phone:_
State
Not Applicable
MORTGAGE COMPANY:
N am e : Janet Mills
Address:
City: Stuart
Zip: _ Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
State:
_Not Applicable
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 repreiHomeaOwners As�oclationi permit will
esabylaws or and Covenants that build prohibit such
which is in conflict with any applicable
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: rpRecord a Notice of Commencement
paying twice
improvements to you property.
oerty.A Notice of Commencement be recorded and your in postd onthjobs to
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.
of 0 er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA ffI>-i2 F -/tJ
COUNTY OF
The fo��ing instrument was acknowledged before me
this � day of - l - t,) , 20— by
"e Mk Iic,i
Name of person making statement
Personally Known= OR Produced Identification
Type of Identification
Produced
(Signature of NotAP)lic- §date of Florida)
Commission N01A%`J
�tI.(, Notary Public State of Florida
Hall
: Donna Jayne
My Commission GG 207505
r of rv°
REVIEWS FRONT
COUNTER
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of ntractor/License Holder
STATE OF FLORIDA
COUNTY OF 1'
The forgoing instrument was acknowledged before me
this L_ day of � )f `j 20 rby
Name of person making statement
Personally Known V,_ OR Produced Identification
Type of Identification
Produced
(Signature of No ary ubli - tate of Florida )
mmission No.
0('`
Notary Public State of Florio
_ Donna Jayne Hall
^,oi M1O1F Expire 0411512022
LAN�VEGE REVIEREVIEW REVIE'