HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-19-20
Permit Number:
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gnaw 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: 9900 S Ocean Dr #706 Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 706 AND UND SHARE IN COMMON ELEMENTS (OR 1181-2247; 3068-2372; 3081-42)
Property Tax ID #: 4502-503-0070-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
Left Side:
Lot No.
Block No.
Replace 1 window and 2 sliding glass doors with 1 hurricane impact window and 2 sliding glass doors
Additional work to be nertormed under tills permit — check all Mat apply:
1JHVAC Gas Tank ❑Gas Piping 11 Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 14,950 Utilities:Sewer Septic Building Height:
Name Ned Lundgren
Address: 9900 S Ocean Dr #706
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.401-323-7005
E-Mail: championms@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Janet Milici
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:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
BONDING COMPANY
Name:
Address:
City:
Zip: Phon
Not Applicable
State:
Not Applicable
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.
Signatur of Owne / Lessee/Contractor as Agent for Owner
Sig ature of ontractor/License Holder
STATE O ORIDA ��j r '
STATE OF FLORIDA
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Sw,prn to (or affirmed) and subscribed before me of
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Sworn to (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization
this day of V Et�ryt6G14 2020 by
� Physical Presence or Online Notarization
this '1111tlay ofval" Q�� 2020
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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
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%j Expires 04/1512022
Expires 04115/2022
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Rev. 5/b/M