HomeMy WebLinkAboutBuilding Permit Application LL MLICABLE INFO UST BE C ETED W J�ICA ION TO E� E •
Date: 00 Permit Number:
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Buimi, Merm'Tirppficafio'n
Planning and Development Services —
Building and Cade Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-15 0 ii X &Rd o ial
PERMIT APPLICATION FOR: Window/door ,
Address: 10310 S OCEAN DR 602,JENSEN BEACH, FL 34957
Legal Description: OCEANRISE CONDOMINIUM APT 602 AND UNDIV SHARE IN COMMON ELEMENTS(OR 3276-1419;3316-874;4010-2065)9
Property Tax 4511-515-0050-000-70 • Lot No. •
Ite a e: oc< o.
Project Name: •
Setbacks Frong�=li Back:— Right Side:_Left Side:
DETAILED DESCRIPTION OF WORK:
Replace one sliding glass door with one hurricane impact sliding glass door
[CONSTRUCTION INFORMATION:
Additional work to e er orme under this permit—check a apply: •
�HVAC 10 Gas Tank Gas Piping �_Shutters Q Windows/Doors
eEl ctric ❑_P um in • �Sprin ers El
Gene • Roof oo pitc
oTotall So. Ft of Construction: S . FRof First Floor:st oonstruction: 6,850 Utilities:�S Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jacqueline M Schrader Name: Janet Milici
Address: 120 Summer Village DR Compan Natural Flow, Inc.
City: Annapolis State:MD Addres*91 NE Baker Rd.
Zip Code: 21401-7281 Fax: City: Stuart State:FL
Phone No.410-703-4416 111M Zip Code: 34994 Fax: 772-334-1078 •
E-Mail:jschrader@keyschool.org • 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$2500 or more,a RECORDED Notice of Commencement is required. •
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: _ Not Applicable MORTGAGE CO N _ Not Applicable
Name. ' • Name:
Address: Address:
City: State: • City: State:
Zip: Phone M Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COM NY: 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 Ow
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 addition
accessory structures,swimming pools,4nc s, signs,sc 'ro ores nre�jdep la us,
WARNING TO OWNER:Your failure tTR00rd a Notic�of Commencement m'�y r#lt m paying twice for
• improvements to your property. A Notice of Commencement must be recorded in the public records o St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financin consult
with lender or an attorneybefore commencingwork or recordingour Notice of Commencement
Sig= of Own //Lessee/contractor a Agent for Owne Si natu e of Co ractor/License Holder
STATE O ORIDA STATE OF FLORIDA y�n
COUNTY OF IYI�TI 1�• COUNTY OF r%jT l • —
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presenc or Online Notari Physical Presence or Online Notariz n
this �k day of I;A 2eZU by" this day of IYIAne-Lt-� �2 2 by
twfelnii It *_
Name of person making statement, Name of person making statement.
Personally Known OR Produced Identification— Personally Known OR Produced Identification •
Type of Identification_ • • Type of Identification - —
Produced • Produced
(Signature of Not ry ubli -State of Florida ) Si nature of N to Public-St e o rlda
otary Public State of Flon a
Commission NO. �/�✓ !� Y'�4 f$e� ary Public State of Flom MZu�7 Sg 5 onna Jayne Hall
`P, h nna Jayne Hall om isslon No. � ( es 04ti /2 22 2075
• V21ap Expires 04/15/2022
04/11
.: • My Commission GG 2 5 5•
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DATE
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