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HomeMy WebLinkAboutBuilding Permit Application ALL 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: Window/door Address. 3100 N HIGHWAY Al 804 Hutchinson Island, FL 34949 Legal Description: SANDS ON THE OCEAN-SECTION 1-UNIT 804 (OR 3874-2218) Property Tax ID#: 1425-606-0032-000-1 Lot No. Site Plan Name: Block No. Project Name: Glasel Setbacks Front Back: Right Side: Left Side: Replace 1 window with 1 hurricane impact window IN OWN= Additional work to e nertormed under t is permit—cneCK all apply: 11HVAC 0 Gas Tank DGas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch Total Sq. Ft of Construction: S�Ft.of First Floor: Cost of Construction:$ 2,100 Utilities: I_I Sewer OSeptic Building Height: Name Raymond A Glasel Name: Janet Milici Address:313 Telly RD Company: Natural Flow, Inc. City: Picayune State:MS Address: 391 NE Baker Rd. Zip Code: 39466 Fax: City: Stuart State:FL Phone No.772-448-4009 Zip Code: 34994 Fax: 772-334-1078 E-Mail:Ray.glasel@core.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. DESIGNER/ENGINEER: Not Appllcable MORTGAGE COMPANY: _Not Applicable Name: Name:Janet Milicf Address: Address: City: State: City: Stuart State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: 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,1 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 our Notice of Commencement. 5ignat a of O er/Lessee/Contractor as Agent for Owner Sign(ture of ntractor/License Holder STATE OF FLORIDA r'� STATE O OFLORIDA COUNTY OF m The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me this(day of 6&"eC ,20 zo by this da of ©C�V bt' ,20 ZX by Name of person making statement Name of person making statement Personally Known_ )OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced 1 1 Gt-U (Signature of No ub -State of Florida) (Signature of Nota P 104t f �/r``r! Not Public State of Florid Commission No.d + mission No. (sgt Jayne Hall ' y►sr Ru Notary Public State of Florid r My Commission GG 20758 "i Donna Jayne Hall �ov�o� Expires 04/15/2022 �7 c411? Expire 04115/2022 REVIEWS FRONT NS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17