HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-2-21 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: $750 S OCEAN DR 731,JENSEN BEACH, FL 34957
Legal Description: ISLAND DUNES CONDOMINIUM A UNIT 731 A/K/A ADMIRAL CONDOMINIUM
Property Tax ID#: 3535-601-0031-000-3 Lot No.
Site Plan Name: Block No.
Project Name: ZIGENFUS
Setbacks Front Back: Right Side: Left Side:
Replace 1 fixed window and 6 sliding glass doors with 1 fixed hurricane impact window and 6
hurricane impact sliding glass doors
_7Wiflonal work to be ertnrmecl un er t Is permit—check all h apply:
OHVAC Gas Tank Gas Piping _Shutters (�Windows/Doors
11 Electric Q Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Scl. Ft. of First Floor:
Cost of Construction: $ 59,250 Utilities: Sewer i —I Septic Building Height:
Name Robert w Zigenfus Sr Name: Janet Milici
Address:8750 S Ocean DR Apt 731 Company: Natural Flow, Inc.
City: Jensen Beach State:F� Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.812-746-8681 Zip Code: 34994 Fax: 772-334-1078
E-Mail:ziggyin@gmail.corn Phone No. 772-334-1011
Fill in fee simple Title Holder on next page(if different E-Mail: Janet@naturalflow.net
from the Owner listed above) State or County License: SCC 131151263
If value of construction is$7500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not 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 attorney before commencing work or recordin Vour Notice of Commencement.
Signatur of Own /Lessee/Contractor as Agent for Owner Signatu t Co ractor/License Holder
STATE O RIDA A t STATE OF FLORIDA Y
COUNTY OF ( -A! �� N COUNTY OF �_� N
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization C Physical Presence or Online Notarization
this day of FE/ LJW ,4 2ff by this��day of �_ by
Name of person making statement. Name of person making statement.
Personally Known _—OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
_& I I I - 1�0& - 4"I_ W v kv W-40
(Signature of Not y ubli -State of Florida) Si nature of ar Pu -St o ri a otarY Public State of Flori Ja
�q :�'4 Y. $ ry Public State of Flo 'Z07 515 � Donna Jayne Hall
Commission No. Donna Jayne Hall om fission No. �yy (S �mmiss+on GG 207585
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