HomeMy WebLinkAboutAPPLICATION PERMIT ZiembaALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-2-20
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: 8880 S Ocean DR Apt 505 Jensen Beach, FL 34957
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM I UNIT 505
Property Tax ID #: 3535-602-0039-000-2
Site Plan Name:
Project Name: Ziemba
Setbacks Front Back: Right Side
Left Side:
Lot No.
Block No.
Replace 2 FG and 4 sliding glass doors with 2 hurricane impact FG and 4 hurricane impact sliding
glass doors
0 HVAC
❑ Electric
0 Plumbing
Sprinklers
"Shutters
MGenerator
Windows/Doors
Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 44,700 Utilities:cnSewer 0Septic Building Height:
Name CYNTHIA ZIEMBA
Address: 8880 S Ocean DR Apt 505 Jensen Beach, FL 34957
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 847-910-9791
E-Mail: Cziemba715@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Janet Milici
Roof pitch
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd.
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.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
` Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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, 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording your Notice of Commencement.
Si nature..of ontractor/License Holder
Signa ure of Ow er/ Lessee/Contractor as Agent for Owner
C USTATE OF NTY OFORIDA
COUNTY
COUNTY OF
tl\Aiel—
Sw rn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
X Physical Pr ence or Online Notarization
5
this day of mgffi 6� 2020 by
this day of 2020 by
tl� ej 1 ti-
�Ctah
Name of person making statement.
Name of person making statement.
Personally Known_ OR Produced Identification
Personally Known is OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
1 `IJW
( gnature of Notary P I'i - StcVbe of Florida)
Signature of Nota J Pu lic- to
U� �(�
Commission No. D r.t, ( )y Public State of Florid
�'
^ `; n ��� Notary Public State of Flor
Co mission No. f�(j J ;(SiDeAha Jayne Hall
M r My Commission
a Donna Jayne Hall
GG 2075
My commission GG 20758q
poi Expires 04115/2022
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REVIEWS
FRONT
P NS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20