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: 9940 S OCEAN DR 902,Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 902 AND.7875 PERCENT INT IN COMMON ELEMENTS(OR 3215-2175)
Property Tax ID#: 4502-502-0089-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Schmidt
Setbacks Front Back: Right Side: Left Side:
NONE=
Replace 2 sliding glass doors with 2 hurricane impact sliding glass doors
!Ill ing!l1l,
to
oItiow rme under t ispermlt—c ec a apply:
V0H Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers FI Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 13,500. Utilities:1n Sewer Septic Building Height:
9�
Name Edward Schmidt Name: Janet Milici
Address:9940 S. Ocean Dr.#902 Company: Natural Flow, Inc.
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.772-485-2291 Zip Code: 34994 Fax: 772-334-1078
E-Mail: 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.
"DES16RNEENGINEER: ,Not Applicable MORTGAGE COMPANY, Not Applicable
Name: Name:jam mild
Address: Address:
City: State: City: st-rt State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITTLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:3.91 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 Count 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 our Notice of Commencement.
Siena a of er/Lessee/Contractor as Agent for Owner Sign ture of ntractor/License Holder
STATE OF FLORIDA � STATE OF COUNTY OF FLORIDA
COUNTY OF
The foiing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this t�day of L ,20 ZD by this 1day of ()C ,20 Zb by
3"e-A (Vkil iu
Name of person making statement Name of person making statement
Personally Known_)OR Produced identification Personalty Known, _OR Produced Identification
Type of Identification Type of Identification
Produced Produced
a6�ALA-AL +�w (.lam
(Signature of N -}} Pu c-State of Florida) (Signature of No ry ub)' State of Florida}
Commission No.d��5 ommission No.�`� 5 "'�!� Not Tic State of Florida
tr P& Notary Public State of Florida My na yne Hall
_ Donna Jayne Hall r;f.: ,N• My Commission GG 207585
• My Commission GG 207585 �q Atl• Expires 0411 5/2 0 2 2
na xp�
REVIEWS FRONT LANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17