HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-22-21
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: 9650 S Ocean DR Apt 1405 Jensen Beach, FL 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1405
Property Tax ID #: 4502-610-0125-000-8
Site Plan Name:
Project Name: Benitez
Setbacks Front Back:
Lot No.
Block No.
Right Side: Left Side:
Replace 4 sliding glass doors with 4 hurricane impact sliding glass doors
�HVAC
Electric
III Shutters
❑ Plumbing Sprinklers Generator Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 29,900
Sq. Ft. of First Floor: _
Utilities:0Sewer Septic
Name Tony P Benitez
Address: 9650 S Ocean DR Apt 1405
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 970-875-4962
E-Mail: tonybenitez03l2@gmaii.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Janet Milici
QWindows/Doors
Roof
Building Height:
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
Name:_
Address:
City:
Zip:
Phone
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:
Zip: Phone: I 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 commencing work or recordine vour Notice of Commencement.
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Signatu tof Own r/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization
this � day of.-rI I 112 3 by
r 2ti2\
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary b'c- 54te of Florida
Commission No.A 7SS 15 e }Mary Public State of Flc
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nna Jayne Hall
_;My Commission GG 20T
Exoues 04/15/2022
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sig ture otC tractor/License Holder
STAT FLORIDA I
COUNTY OF jNllk�2�t'1
S`vjorn to (or affirmed) and subscribed before me of
X P yslcal Pre ence or Online Notarization
this& day of ilwa y
2,a 2 I
Name of person making statement.
Personally Known r OR Produced Identification
Type of Identification
Produced
of Notary PLIt
lic Staj of Florida
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ni � Sss
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW
Notary Public State of Florida
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