HomeMy WebLinkAboutAPPLICATION PERMIT SCAN DeJohnALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-15-21
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
Address: 8750 S OCEAN DR PH-54, Jensen Beach, FL 34957
Legal Description: ISLAND DUNES CONDOMINIUM A UNIT PH-54 A/K/A ADMIRAL CONDOMINIUM (OR 3969-1536)
Property Tax ID #: 3535-601-0108-000-4
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Replace 7 sliding glass doors 7 hurricane impact sliding glass doors
F1HVAC
11 Electric
_ L._I Shutters
❑ Plumbing Sprinklers M Generator Roof Root pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 60,200
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Name Rory C DeJohn Vanessa V DeJohn
Address: 8 Devon CT
City: Branford State: CT
Zip Code: 06405 Fax:
Phone No. 917-567-0644
E-Mail: roryde@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Janet Milici
QWindows/Doors
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd.
Building Height:
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.
DESIGNS ENGINEER: Not Applicable MORTGAGE COMPANY: — Not Applicable
Name: Name: Janet Wici
Address: Address:
City: State: City: St—t State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name' Name:
Address:3s, NE Baker 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.
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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
rnmmpnrino wnrk nr mcnrdine vnur Notice of Commencement.
signa a of er/ Lessee/Contractor as Agent for Owner
Sign tune of ntractor/license Holder
STATE OF FLORIDA -
TI %J
STATE OF FLORIDA
COUNTY OF MA12TIO
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this IT"" day of _ ���� , 2020 by
this day of ( v►�(��O_ , 202o by
t k (.(
Name of person making statement
OR Produced Identification
Name of p r on making statement
Personally Known OR Produced Identification
Personally Known _)
Type of Identification
Type of identificati n
Produced
Produced
Signature of Nota Pub c- S of Florida)
(Signature of Nota Pub ' - S e of Florida )
Commission No.�01d�x'''tr�(S ry Pubk State of Mori
Donna Jayne Hall
o fission No. D y►4 Nota( Bll)c State of Florida
+�; • My Commission GG 2075
Expires 04/1512022
? Donna Jayne Hall
. My Commission GG 207585
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01P Expires 04/15/2022
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Rev. 8/2/17