HomeMy WebLinkAboutBuilding Permit Application •
ALLP�3L-10-21411111
US C D 0J E C �TED•
Date *Permit Number:
- 11
•
• . • A.
Bu11 ing Permit licatior�
Planning and Development Services•
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-155341ax: (772)462-i57%:C�Cial X , e�lt dial _
PERMIT APPLICATION FOR: Window/door
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3100 N HIGHWAY A1A 1001, Hutchinson Island, FL 34949
Legal Description: SANDS ON THE OCEAN-SECTION 1- UNIT 1001 (OR 4024-603
Pro ert Tax ID : 1425-606-0041-000-7
i eo.
Project Name: Justice —
Setbacks Front— Back: Right SideSEENIMILeft Side.
'DETAILED DESCRIPTION OF WORK:
Replace 2 windows and 1 sliding glass door with 2 hurricane impact windows and 1 sliding glass door
CONSTRUCTION INFORMATION:
Additional work to be pertormedunder t is permit—check all that apply:
AHVAC L�1 Gas Tank Gas Pi pin _Shutters a Windows/Doors
/a Eel ctric _P um mg � ppri� I El Gen Roo Roof pitc
ot9S� •tion: _S . FA t FI��
Cost of Construction: 15,250 Utilities:�Sewer Septic •Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Dale Justice Name: Janet Milici
Address:2130 47th TER C0,0kny: Natural Flow, Inc.
Cit$Vero Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 32966-2170 Fax: Citp Stuart State:FL
Phone No.772-321-6791 Zip Code: 34994 Fax: 772-334-1078WM
E-Mai 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 Count License: SCC 131151263
� 11
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not A licable
Name: • Name: _
Addr s: Address.
City State: City. State:
Zip: Phone • Zip: Phone:
FEE SI _ Not ADD BONDING COMPANY: Ah
Name. Name.
Addws: Adds:
City: City:
Zip: Phone: Zip: P11one:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit two do the work and installation as indicate •
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
040
rimprovements 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 recording our Notice of Commencement
Signatur of Own /Lessee/Contractor as Agent for Owner Signatu t��
actor/License Holder
STATE O • STATE OF FL •n •
COUNTY OF In TI COUNTY 5" •
worn to or affirmed)and subscribed be ore me of worn o(or a irme an�u scri e be tore me otW
Physical Presence or Online Notarization Phsical Presence or Online Notarization
isall,da f ( 9AA-4 ,2f 2 b • t Is day of r�&'2Lfk-Q�_ by
Cy
p�� �Mt1)LA •Z021� � � C40M (tt✓j �21
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Name of person making statement. Name of person making statement.
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ersona y no �• 0 ro uce c o Pers4o all Knot X• 0 Produced 117pntification
Type of Identification Type of Identification
Produced Produced or
(Signature of Not ry ubli -State of Florida ) Si nature of Notary c-S o rlda otary Public State of Ron a
20 j +• Public State of Flo Zu�S$5 Donna Jayne Hall
Commission No. ►' 'y�Se44 ry om l i o. +� 9", mmission GG 20758
�na Jayne Hall • 7ja^oF xp,res 0411 5/2 02 2
My Commission GG 2075 5
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REVIEWS 0 FRONT G SUPERVISOR PLANS VEGETATIOIP SEA TURTL MANGROVE
— • COUNTER REVIEW REVIEv4W REVIEW REVIE\A� •REVIEW *REVIEWI��
DATE RECEIVE� • • • • • - • � • • • •DATE
COMPLETED• • • • • • • •
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