HomeMy WebLinkAboutAPPLICATION MillerALL 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
PERMIT APPLICATION FOR: Window/door
Address: 8650 S OCEAN DR 905, Jensen Beach, FL 34957
Legal Description: REGENCY ISLAND DUNES BUILDING 1 UNIT 905
Property Tax ID #: 3534-501-0047-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Residential
Lot No.
Block No.
Remove existing sliding glass doors and replace with 5 fixed glass panels (PW) and 3 sliding glass
doors
DHVAC
❑ Electric
0 Plumbing
OSprinklers
Generator
✓� Windows/Doors
Roof
Total Sq. Ft of Construction: Sq.
of First Floor:
Cost of Construction: $ 26,300 Utilities: oSewer QSeptic Building Height:
Name Christopher A Miller Ana Maria Miller
Address: 8650 S OCEAN DR 905
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 786-301-3517
E-Mail:
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: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 atfornev before commencing work or recording vour Notice of Commencement.
of
r as Agent for Owner
STATE -OF FLORIDA r'
COUNTY OF iJ
Sworn to (or affirmed) and subscribed before me of
is Physical Presence or Online Notarization
this2tiLt day of _D 66C/yi 2020 by
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STATE OF FLORIDA
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Sworn to (or affirmed) and subscribed before me of
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