HomeMy WebLinkAboutBuidling permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
o
Yw�?+Ab
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: 9650 S Ocean DR Apt 1703 Jensen Beach, FL 34957-2361
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1703 (OR 3881-1816)
Property Tax ID #: 4502-610-0153-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:
Replace 2 windows 2 hurricane impact windows
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:,.
Additional work to e e orme under this permit — check a apply:
❑HVAC El Gas Tank ❑Gas Piping Shutters Q Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3,580 Utilities:In Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William E Noble (TR)
Name: Janet Milici
Address: 9650 S Ocean DR Apt 1703
Company: Natural Flow, Inc.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-200-6813
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E-Mail: William-noble@hotmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Janet@naturalf low. net
State or County License: SCC 131151263
If value of construction is 52500 or more, a KELUKUW Notice Or Lommencemem n reyuucu.
CONSTRUCTION LIEN LAW INEORIVI
-- -r — Not Applicable
Not Applicable
Name:
Address: State:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Not Applicable
Name:
Address: 391 NE Baker Rd.
City: phone
MORTGAGE COMPANY: _
N am e . Janet Milici
Address: State:
City: Stuart
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip:
Zip:
is hereby made to obtain a permit to do the work and installation as indicated.
OWNER/ CONTRACTOR AFFIDVIT: Application
I certify that no work or installation has commenced prior to the issuance of a permit..
applicable Home Owners Association rules, bylaowu� deed or any restric ons wh which restrict
applyhibit such
St. Lucie County makes no r apresentation that is granting a permit will authorize the eove holder to build the subject structure
which is in conflict with any pp
structure. Please consult with your Home Owners Association and reviewy
In consideration of the granting of this requested
Floridpermit,
I do Codes anhereby d Steeuc a Countywill, i Amendmeall ntsperform the work
in accordance with the approved plans, the
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 for
WARNING TO OWNER: Your failure to Recordof Commencemornentmustmust be recordedencement and in postour ed paying twice
he jobsite
improvements to your property. A Notice tend
before the first inspection. If you intendto e of Commencement. suit with lender or an attorney before
commencingwork or recordingour N•
of Ot er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this L:S�day of V N C J 20 -26 by
Name of pers\op making statement
Personally Known J\ OR Produced Identification
Type of Identification
Produced
AA 0�9
(Signature of Nota�Plic- State of Florida )
i 5Y5 d,,r �V5� ry Public State
ol
Commission No. r f �iYj r4�na Jayne Hall
M My Commissioni GG e
% Expires 04115:2022
REVIEWS I COUN ER I ZONING
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of an-tractor/License Holder
STATE OF FLORIDA
COUNTY OF 1 '
The for oing instrument was acknowledged before me
this �0
_ day of yj+�+`�C ] by
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
SUPERVISOR PLANS
REVIEW REVIEW
of Notanffublic- S!t
�a+ •u Notary Public State of
e � �My $�j� na Jayne Hall
l No.
• Commission GG 2
OF nod Expires 04115/2022
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW