HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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:
Address: 9940 S Ocean Dr Apt 1102 Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1102 AND .7875 PERCENT INTIN COMMON ELEMENTS (OR 786-800)
Property Tax ID #: 4502-502-0109-000-8
Site Plan Name:
Lot No.
Block No.
Project Name: BAIONE
Setbacks Front Back: Right Side: Left Side:
Replace 3 windows with 3 hurricane impact windows
CJ HVAC
Electric
"Shutters
❑ Plumbing Sprinklers 11 Generator11 Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction. $ 3,550
Name Eileen Baione
Address: 9940 S Ocean Dr Apt 1102
S Ft. of First Floor: _
Utilities:cnSewer 0Septic
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-4081
E-Mail: Josephbaione@att.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Janet Milici
ZWindows/Doors
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd.
Building Height:
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E-Mail: Janet@naturalflow.net
State or County License: SCC 131151263
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
RDES16"NEENGINEER: Not Applicable
MORTGAGE COMPANY: , Not Applicable
Name:
Name: Janet Mild
Address:
Address:
City: State:
City: Swart State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 39, NE surer 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, 1 do hereby agree that I wilt, 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
rnmmanr^ino wnrk nr racnrdino vnur Nnticp of Cnmmencpment.
Tjgnatla of er/ Lessee/Contractor as Agent for Owner
Sign tore of ntractor/License Holder
STATE OF FLORIDA
I� T 1(�
STATE OF FLORIDA
COUNTY OF IA_affi�i
COUNTY OF
The forgoing instrument was acknowledged before me
The for Qq�in_g instr ment was acknowledged before me
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Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known _ Cam_ OR Produced identification
Type of identification
Type of Identification
Produced
Produced
;IiDgnaturelof�uic- Florida }
(Signature of Nota Pu lic- S to of Florida)
Commission No.2-�
mmission No. 2-0-7 a
l It, Notary Public State of Fiorida
l'. Notary Public State of Florida
a Donna Jayne Hall
? F, Donna Jayne Hall
Commission GG 207585
.:,: My Commission GG 207585
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REVIEWS
FRONT
LAMS
VEGETATIO
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17