HomeMy WebLinkAboutAPPLICATION BONEILLOALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
A
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: 7370 S OCEAN DR 613, Jensen Beach, FL 34957
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 613 (OR 3390-2257)
Property Tax ID #: 3522-607-0087-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
Replace 2 windows and 1 sliding glass door with 2 hurricane impact windows and 1 sliding glass door
CON STRUCTION•'INFORMA TION
Additional work to b rtormed under this permit — c ec a apply:
❑_ HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers 0 Generator F]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 11,130
S Ft. of First Floor:
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESS;EE:
CONTRACTOR:
Name Joseph Boneillo
Name: Janet Milici
Address: 33 Adrienne Ln
Company: Natural Flow, Inc.
City: Hauppauge State: NY
Zip Code: 11788 Fax:
Phone No. 516-607-8158
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E-Mail: joebones43@icloud.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 525uu or more, a KtIVKUtU rvOUce or LommencernenL n i eyun cu.
STATE OF FLORIDA f,�)
COUNTY OF
The forgoing instrument was acknowledged before me
this day of
M Z0, by
U
Name of
Personally Known perso making OR Produced identification
Type of Identification
i Produced
�12
(Signature of Not ubl State of Florida )
J1() a
�
Commission No. � � otary Public State of Florida
r Donna Jayne Hall
o My Commiss o^^GG 207585
REVIEWS FRONT Lvrvtrvu
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Name:
Address:
City: phone
Zip:
Not
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
ss: 391 NE Baker Rd.
Addre
City:
Phone:
MORTGAGE COMPANY:
_ Not Applicable
Name . Janet Mi"d
Address:
State:
City: St-rt
—
Zip: __ Phone:
BONDING COMPANY:
_Not Applicable
Name:
Address:
City:
Zip: _________— Phone:
Zlp.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby
the issuance to obtain
a pepermit to do the work and installation as indicated.
I certify that no work or installation has commenced p p
h an applicable Home Owners granting
Assa p .rmion rules, bylaws or and covenants that may restrict or prohibit such
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which r .conflict with X pp
structure. Please consult with your Home Owners Association and review your deed for any restrictionerform the work apply. which may
, in all respects,
In consideration of the granting of this plans, Florida da Buildingermit, I do hereby Codes and Ste Luce Cou'nity Amendments•
in accordance with the approved
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
oms and accessory uses to another non-residential use
accessory structures, swimming pools, fences, walls, signs, screen rooms
WARNING TO OWNER: Your failure to Record
CommenceCmenrt must be recorded and in post our dYonBthe�jobsite
improvements to your property. A Notice o
before the first inspection. If you Intend toobtain fins Commencement.
consult with lender or an attorney before
commencin work or recordin our Not
/t-x-3�
of O er/ Lessee/Contractor as Agent for Owner Sign ture of ntractor/License Holder
STATE OF FLORIDA nP,�
COUNTY OF �n''
The forgoing instrment was acknowledged before me
this+—t— day of i C 20 Z� by
Name of pers n making statement
Personally Known OR Produced Identification
Type of Identification
I Produced
of N
mmission No.
ILANS I VEGETATIO
REVIEW REVIEW
of Florida )
0�t+•4s Notary Public State of Florida
: � Donna Jayne Hall
F.,,.,, 041 512022