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AIIAPPLICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
Date' Feb 9,2021 permit Number:
Building Permit Application
Planning and Development Services
Buitding and Code Regulotion Division COmmefCia I
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (172) 462-1578
Residential x
PERMIT APPLICATIoN FoR: ;,1pact Windows
PROPOSED I M PROVEM ENT LOCATION :
Address: 9435 S OCEAN DR BD Jensen Beach Fl 34957
Property Tax lD g' 3535-33&0003-320-8 Lot No.
Site plan Name: lsland Village Block No.
Project Name: lsland Village
DETAILED DESCRIPTION OF WORK:
Removing old windows and sliders and installing new impact windows and sliders and impact entry door.
New Electrical Meter Second Electrical Meter
CONSTRUCTION I NFORMATI ON :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 13146.25 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is 57,500 or more, a RECORDED Notice of commencement is required.
OWNER/LESSEE:CO NTRACTO R:
N13rns Kenneth R Orefice
Address:9435 S OCEAN DR BD
City: Jensen Beactr State:
ZiP Code: 34957 Fax:
phone pe.914-441-8060
E-Ma i I : goreficel 27 @aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:Thomas Scaglione
Company: T-Con Group, lnc'
Address:3246 N Powerline Rd
City: PomPano Beach
ZiP Code: 33069 Fax:
phone po 56'1-702-3600
E-Ma i I thomas@t-congroup.com
State or County U6sn5g CBC12!1999
State: Fl
x
32195
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City
zip:
State:
Phone
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City:.State:
zip:Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: x Not Applicable
Name:
Add ress:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Rpplication 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- l-ucieCounty.makes no representation that is granting a permit will authorize the permlt holder to build the subiect structurewhlch ls ln contllct with any applicable Home Owners Association rules, bvlaws or and covenants that mav restrict 6r prohibit suchstructure. Please consult with your Home Owners Association and review'your deed for any iesllictions r,,r.ifiiih maV applt. - - -- -
ln consideration of the granting of this requested permit, ldo hereby agree that lwill, 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 iecorded in the public records of St.
Lucie.County and posted on the jobsite before the first inspection. lf you intend to obtain financing, consultwith Iender or an attorney before commencing work or recording vour Notice of Commencement.
/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY Qf rtoriaa
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or I Online Notarization
this gtn day of reo,r",y
Name of person making statement.
Personally Known OR Produced ldentification
Type of ldentification
PfOdUCed Drivers License
Signature of Notary Public- State "ilfqll,U )
-,0*,,,00*,,,
{ffitrIil*:ffi*l}:fiCommission [\6. GG234S7B
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf r.ro'i<ra
Sworn to (or affirmed) andx Physical Presence or.
this eth day Of r"on,",y
subscribed before me of
_ Online Notarization
Janres E Danesi Notary
Name of person making statement.
Personally Known OR Produced ldentification
Type of ldentification
Prod uced
ature of Notary Public- State
ri
of Florida )
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ommission [\s. GG234378
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FRONT
COUNTER
REVIEWS SU PERVISOR
REVIEW
PLANS
REVIEW
ZONING
REVIEW
VEGETATION
REVIEW
SEA TU RTLE
REVIEW
MANGROVE
REVIEW
Kenneth Orefice Thomas Scaglione