HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE CO TED FOR ppLI CATION TO BE ACCE6ED
• •
Date: • Permit Number.
AilldllMng
Permit icatior.
Planning and Development Services —
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
_ial X 40Sid*wiai _
Phone: (772) 462-1553 Fax: (772) 462-1)J%8,C�C••
PERMIT APPLICATION FOR$indow/doo
R D Ii1�IPRE+I t,OCATION:_
Adds: 9940 S OCEAN DR 109, JENSEN BEACH, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 109 AND .7875 PERCENT INT IN COMMON ELEMENTS (OR 1690-1892)
ProL)ertv Tax ID : 4502-502-0016-000-9 Lot No.
P 610CT'No.
Site a� ame:
Project Name: RUDA
Setback Front— Back —Right Side Left Side.
;DETAILED DESCRIPTION OF WORK:
• • •
Replace 2 sliding glass doors with 2 hurricane impact sliding glass doors
••MM• 111=1111•
ONSTRUCTION INFORMATION:
Additional work to_apply: —
, -e_er orme under this permit — check
aWdows/•EIHVAC•orS TankCs Piping Shutters Doors
,a
ri,*Ele PlumFiRoo = Roof pitc
bgrs
Too aTTSq. o ,ns ruc Ion: �. � iit FIoT
Cost of Co struction: $ 11,25 Utilities:�Se�4Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
George S Ruda
Name: Janet Milici _
y: Natural Flow, Inc.
0a
d ess:4048 Palisades Main NW
City: Kennesaw GA
•
Ad : 391 NE Baker Rd.
Zip od 30144 ax:
4
Cit# Stuart State: FL
40
on No.678-520-9546
�,
Zip de: 34994 Fax: 772-334-1078
_
rudag@bellsouth.net
Ph�No. 772-334-1011
qp
*t—n X se T' a t p a (' r t
romrom wner I d a ove
E-Mail: Janet@naturalflow.net
Stat*r Count License: SCC 131151263
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If value of construction is $2500� a RECORDED Notice of Commencement is required.
PDESMIGNEENGINEER:
_ Not ApplicableW MORTGAGE COMPANY: — Not Applicable
Name:
Name: Janet r,,IIIG •
Address:
City: •
Address:
State: I I City: st-tt State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not A licable
BONDING COMPANY: Not A licable
Name:
Name:
Addrus: 391 NE Baker Rd.
Addr�
City:
city: •
Zip: blone:
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%cie County makes no representation that is granting a permittlltthorize 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
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appl
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the wort;
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The follollbuildiR permitlpplications reMemilt from underg in full conctTren review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential
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 witWero�an atto�y
commencing work or recording your Notice of Commencement. •
7• yi��01 • • •
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Signat a of O er/ Lessee/Contractor as Agent for Owner
,
Sign ture of ntractor/License Holder
STATE OF FLORIDA T)
STATE OF FLORIDA
COUNTY OF •
COUNTY OFF
The for�oi gins
Thfor cling to rumen was ac no a ge afore me
this day of Sria/6m�36(Z , M20 by
rumen was ac owe ge a ore me
this/'► day of��j�pi�/1') L�9 �2020 by
Sm !dime,+I M; < <c(—
• rat I,C
- Name of PersQn making statement
-Name of persorp making statement
Personally Known OR Produced Identification
Personally Known , �• OR Produced Identification
Type of Identification _
Produced • •
Type of Identification •
Produci
•
• ft 4P • •
(Signature of No ublic State of Florida)
1.iignture of No ry)Pu ' - State of Florida) • •
Commission No. 5.85
ssion No.X75
ayY.0 Ootary Public state of F
: e� Donna Jayne Hall
rlda, '( P(, Notary Public State of Florida
Donna Jayne Hall
r
Y My Commission GG 20
5B5
my commission GG 2
REVIEWS
FRONT
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VEGETATION
r� o Expires
or P
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COUNTER
REVIEW •
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OREVIEW40
DATE-
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Rev. 8/2/17