HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-27-20 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: 10310 S OCEAN DR 208, JENSEN BEACH, FL 34957
Legal Description: OCEANRISE CONDOMINIUM APT 208 AND UNDIV SHARE IN COMMON ELEMENTS (OR 3934-2830)
Property Tax ID#: 4511-515-0016-000-7 Lot No.
Site Plan Name: Block No.
Project Name: McLAUGHLIN
Setbacks Front Back: Right Side: Left Side:
Replace 1 window with 1 hurricane impact window
monow owns=
Additional work to ff
orme perm
un ert is it—c ec a appy:
RHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing L-_.1 Sprinklers 1:1 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3,800 Utilities Sewer E]Septic Building Height:
Name Phillip McLaughlin Name: Janet Milici
Address:8233 Pattiwood LN Company: Natural Flow, Inc.
City: Richland State:MI Address: 391 NE Baker Rd.
Zip Code: 49083-8615 Fax: City: Stuart State:FL
Phone No.269-598-7779 Zip Code: 34994 Fax: 772-334-1078
E-Mail:Pdmac1946@comcast.net 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 Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:Jew Mai
Address: Address:
City: State: City: sa,art State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:39,NEaak-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.
1 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 our Notice of Commencement.
C
Signat a of er/Lessee/Contractor as Agent for owner Sign ture of "tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA Mn n� , I
COUNTY OF M , � COUNTY OF (l 4 IV
The for oing instrument was acknowledged before me The for Q ng instrument was a knowledged before me
this 2Y'�lay of 0M� � 20 2-0 by this�May of 667rlf(3 ,20 Z U by
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Name of perso making statement Name of person making statement
Personally Known OR Produced Identification Personally Known �C _OR Produced Identification
Type of Identification Type of Identification
Produced Produced
AJ
(signature of Notary b c-Sta ture of Nota Pu lic- to of Florida}
�firy �t+�a Notary Public State of Plo Ida
L�l!! ? Vt`�Qnna Jayne Hall 2,b r. d aU Commission No. M; Y Commission GG 2075 SCOm ISSiOn NO. ( 4 N bhc State of Florida
Expves04/15/2022 ? Donna Jayne Hall
My Commission GG 207585
�ya Expires 04i15/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17