HomeMy WebLinkAboutAPPLICATION Permit Scan AustonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-11-21
Permit Number:
KAK
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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:
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Address: 3100 N HIGHWAYA1A PHB03, Fort Pierce, FL 34949
Legal Description: SANDS ON THE OCEAN -SECTION 1- UNIT PHB3 (OR 3489-1142)
Property Tax ID #: 1425-606-0073-000-0 Lot No.
Site Plan Name: Block No.
Project Name: AUSTON
Setbacks Front Back: Right Side: Left Side:
Replace 1 fixed window and 4 sliding glass doors with 1 hurricane -impact fixed window and 4
hurricane -impact sliding glass doors
F]HVAC
11 Electric
�]_Sprink'lers
"Shutters
Plumbing FIGenerator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 36,900
Name Steve Auston
Sq.JFt. of First Floor: _
Utilities: 0 Sewer OSeptic
Address: 3100 N HIGHWAY A1A PHB03
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-242-8442
E-Mail: steveauston@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Janet Milici
✓Q Windows/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.
DESIGNER/ENGINEER:
_Nat Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
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 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 commencina work or recording; vour Notice of Commencement.
Signatur of Own /Lessee/Contractor as Agent for Owner
Signatu a of Co ractor/License Holder
STATE O ORIDA
IYtT� I� 0
STATE OF FLORIDA 1
COUNTY OF �t 0
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this U4> day of
this * day of �Q�tc�UAaL 4 ae2" by
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Name of person making statement.
Name of person making statement.
Personally Known X OR Produced identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Not ry ubli - State of Florida)
Si nature of Notar lic- t e o ri a otary Putihc State of Flori
Commission No. 5� r •� Sep ary Public State of Flo(Z
v7 5� Donna Jayne Hall
om fission No. p (� pmmission GG 2075
gonna Jayne Hall
fuly Commission GG 107145aat�
Expires 04Y15/2022
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Rev. b/b/1U