HomeMy WebLinkAboutBuilding Permit ApplicationALL 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
PERMIT APPLICATION FOR: Window/door
Address: 10600 S OCEAN DR 204, JENSEN BEACH, FL 34957
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT204 AND UNDIV SHARE IN COMMON ELEMENTS (OR 3290-1135; 3867-2423)
Property Tax ID #: 4511-517-0021-000-1
Site Plan Name:
Lot No._
Block No.
Project Name: ANDRESS
Setbacks Front Back: Right Side: Left Side:
Replace 3 windows with 3 tempered glass windows
0HVAC
11 Electric
_ "Shutters
0 Plumbing Sprinklers FIGenerator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,995
Sq. Ft. of First Floor: _
Utilities:Sewer OSeptic
Name Rodney C Andress Beverly B Andress
Address: 3432 NE Causeway BLVD Apt 404
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 410-703-7199
E-Mail: rodneyandress@comcast.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
QWindows/Doors
Name: Janet Milici
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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: janet M4ld
Address: Address:
City: State: City: sa.n State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ` Not Applicable BONDING COMPANY: _ _ Not Applicable
Name: Name:
Address: 39, NE m- 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 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 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 work or rerordina vour Notice of Commencement.
S'Ignat a of er/ Lessee/Contractor as Agent for owner
Sign tne of"tractor/License Holder
STATE OF FLORIDA n�+
STATE OF FLORIDA
Y�I
COUNTY OF 1 h 1/�t
COUNTY OF
The forgoing instrument was acknowiedged before me
thisday of j)ECrdvU�-� . 20 2b by
The forgoing instrume�C n�� ac nowiedged before me
this day of D 20Zb by
Name of person making statement
Name of p rs n making statement
'C Personally Known OR Produced Identification
Personally Known OR Produced Identification
_
Type of Identification
Type of identification
Produced
Produced
(Signature of Notaa icy- S to of Florida
(Signature of Nota P blic- tate of Florida)
II �an
Commission No. (! l.� t O 2a►`"°�(ISed'ii tary Public State of FI
onna Jayne Hall
ir�m fission Na �-75 `•& No4eatl)c State of Florioa
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My Commission GG 207
�garno Expires04/15/2022
Oonna Jayne Hall
85 r ; My Commission GG 207585
��wn Expires04I1512022
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Rev.8/2/17