HomeMy WebLinkAboutBuilding Permit Application PAL JJETED FOR Jp ICATION TO BE ACCEDE
Date: Permit Number:
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lirr
B!UldiffgPermit PP cat on
Planning and Development Services —
• Building and Code Regulation Divisio%
2300 Virginia Avenue, Fort Pierce FL 34982 P2(J •
• P one: (772)462-1553 Fax: (772)• 5�C�• 1Cial X J�id tial
PERMIT APPLICATION FOR: Window/doo
�dd : 9940 S Ocean Drive#1010, Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1010 AND .8625 PERCENT INTIN COMMON ELEMENTS
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tro ert Ta ID#. 4502-502-0107-000-4Lot No.
te a ame: _ oBl c7d4o.
Project Name:
Setbacks*Front—Back—bight Side:— Left Side:
DETAILED DESCRIPTION OF WORK:
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eplace 3 windows and 2 sliding glass doors with 3 hurricane Impact windows and 2 sliding glass
doors
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VONSTRUCTION INFORMATION: _
Additional work to ** Gas❑r orme under this permit-check a apply:
11HVAC Tank Gas Piping Shutters Q Windows/Doors
��
ElectricPIu Sprinklers
Generators El Roof • • oR ofpitch
Tot-a1�q :Jf)4ns rruc ion: � st Flo�r, —
Cost of Construction:$ 13,205 Utilities: —Sewer 0 Septic Building Height:
OWNERAESSEE;. _ CONTRACTOR:
Name 9940 1010 S Ocean Drive LLC Name: Janet Milici
Address:9940 S Ocean Drive#1010 0 Company: Natural Flow, Inc.
CitV*Jensen Beach State:FL 0 Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: CitPStuart State:FL
Phone No.305-281-9732 • Zip Code: 34994 Fax: 772-334-10784MI111
E-Mail:Odalys.martin@gmail.com Phone No. 772-334-1011 _ • •
Fill in fee simple Title Holder on next a e(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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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: Sta ' City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not A pIicable
Name: Name:
Address: Address:
City:• City:•
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the n in Imw e
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
in accordance with the approved plansieJoiia Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room a Itlons
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 S�l
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consu
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signatur O n /Lessee/Contractor as Agent for Owner • Signa46 11 a Co ractor/License Holder
STATE O ORIDA • •,• STATE OF FLORIDA4W 1
COUNTY OF • WA-P-TI 1C� COUNTY OFlMfl —, 1 N
Sworn to(or affl e a d suG ribf beforr of Sworn to(or affirmed)f d subtribed before me of,
Physical Presence or • Online Notarization • •�Physical Presence or"Online Notarization
this day of Mill N 2070'by this day of MAeGlf by
• • A ,YA 'L 0& 40illit
Name of person making statement. Name of pers —on mstatement.
Personally Known OR Produced Identification— Personally Known OR Produced Identification—_
Type of Identification Type of Ide iciticin •
Produced Produced •
(Signature of Not ry ubli )State of Florida Si nature of tar lic-St e o rlda otary Public State of Flon a
4 r7 p 4+; Donna Jayne Hall
Commission No. 1 J O d✓ 4 Se�P ry Public State o o Otom ission No. Zu {5 D 5 y (g�g¢�mmission GG 207585
' + Donna Jayne Hall — Opa�� Expires 04115I2022
• My Commission GG 2075 5• •
00,111
FRONT WA
• RE COUNTER REVIEW • SUPERVISOR REVIEW REV EW V REVIEW S REVIEW MANGROVE REVIEW
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COMPLETEDi ev
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