HomeMy WebLinkAboutAPPLICATION BogdanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
CO&JNJTY
0 R 1 0 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
- -. - - . . . ............................................... .. ....
Address: 10200 S Ocean DR # PH-6 Jensen Beach, FL 34957
Legal Description: ATLANTIS Ill BY THE SEA UNIT PH6(706) AND PRO-RATA SHARE IN COMMONELEMENTS
Property Tax ID U: 4511-518-0064-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 3 windows with 3 hurricane impact windows
CONSTRUCTION INFORMATION:
Additional
HVAC
work to brformed
_Gas
under
Tank
this permit - check all
Gas Piping
hat
_Shutters
apply:
[Li Windows/Doors
11 Electric Plumbing LSprinklers _Generator _Roof Roof pitch
Total Sq. Ft of Construction: S9. Ft. of First Floor:
Cost of Construction: $ 5,700 Utilities: I - Sewer Septic Building Height:
Name Megan Bogdan Name: Janet Milici
Address: 10200 S Ocean DR # PH-6 Company: Natural Flow, Inc.
City: Jensen Beach State: FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State: FL
Phone No. 772-873-7797 Zip Code: 34994 Fax: 772-334-1078
E-Mail: Megan.bogdan@gmail.com Phone No. 772-334-1011
Fill in fee simple Title Holder on next page if different E-Mail: janet@naturalflow.net
from the Owner listed above) State or County License: SCC 131151263
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNE ENGINEER: - Not Applicable
Name:
MORTGAGE COMPANY: - Not Applicable
Name: Janet millci
Address: Address:
City: State: City: Stuart State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: - Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 391 NE Baker Rd. 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 the permit 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
'er/ Signat e of 0 Lessee/Contractor as Agent for Owner
STATE OF FLORIDA .
COUNTY OF 1-f'J
Sign ture ctor/Ucense Holder
STATE OF FLORIDA /) -
COUNTY OF
The forging instrtmnt was acknowledged before me
this3ayof _101 ,2O . by
The foroing instriment was acknowledged before me
thisILLdayof IA ,2O'-' by
Ck (\ t (L
Name of person making statement
Personally Known )( OR Produced Identification
Name of person making statement
Personally Known X OR Produced Identification
Type of ldentificatioj
Produced
Type of Identification
Produced
(Signature of No Public- - ..
Notary Public State of Florids
Commission No. cO75 i j,a Jayne Hall . 207565
' : nature of Not ublic- ... - elf P(
• mission No. 7 1
Notary Public State of Florida
Jayne Hall
o'' Expires 04/1512022
oo Expires 04/15/ 022
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17