HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-19-21 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 ,.fOmlmlerMcIt X egs 11 Men ila�� — —
PERMIT APPLICATION FOR: Wind/door
ddress: 9900 S OCEAN DR 503,JENSEN BEACH, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 503 AND UND SHARE IN COMMON ELEMENTS
46opejy"#: 4502-503-0047-000-8 Lo o.
Site Plan Name: BIoocNo.*
Project Name:
Setbacks Front —Back Right Sider � Left Side:—
Replace 1 sliding glass door with 1 hurricane impact sliding glass door
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CONSTRUCTION INFORMATION:
Additional work to b WGasTank
orme un er t is permit—c ec a app y:aHVAC
Gas Piping 0 Shutters a Windows/Doors
M � � ,� aEle Plumbing Sprinklers Gen Roof Roof h
Totaq Sq. Ft of Cons ruc ion: Is - • P F� First f F oo —
Cost of Construction:$ 5,850 _ utilities. I*Septic, Building Height:
O.WNER/_LESSEE CONTRACTOR:
Na�Janine Carmem Heavin N Janet Milici
Address:34144 Jewell DR Co a • Natural Flow, Inc.
City: Sterling Heights State:MI Ad es#391 NE Baker Rd.
Zip Code: 48312 Fax: CitStuart State:FL
Phone o.586-604-8192 W Zip Code: 34994 Fax: 772-334-1078
E-Mail: 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• 0 - — 0 0
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
Citym State: City: M State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Nam
Address: Addr s .
City. City.
Zip: Phone: Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a per t to do the wo k and in II as 1 dicat d46 .
certify that no work or installation has commenced prior to the issuance of a permit � 4
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
accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments+ —
0 he following building permit applications are exempt from undergoing a full concurrency review:room additions,
ccessory 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
mprovements 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 O wn /Lessee/Contractor as Agent for Owner Signat e of Co ractor/License Holder
STATE O ORIDA 40,�-/�M STATE OF FLORIDA•� �+ ',
COUNTY OFF��T� 0 COUNTY OF 1'i/T , ( N
5orn to(•affir-d)ann sou scriold befpe me of�_ Sworn to(or affirmed)and subscribed before me of
Ph sical Pre ence orb Online Notarization Physical Presence or ne Notarizatio
t isi:z�da f p�l L 2�by this day of r�f+�I!_ �6217 by
Name of person making statement. ame of erson making statement
Perstally Known OR Produced Identification Personally Know OR Produced Identification
Type of identification Type of IdentificationM M —
Produced Produced
(Signature of NotArlyJuubli -State of Florida ) Si nature of tar Pu -St e o nda otary Public State of lori a
L0 1 5� ► S Public State of F ( Donna Hall
Commission No. emery Om ISSIOn NO. ������ ��D� T'��missionGG 207585
Donna Jayne Hall � o►*�f Expues 04115/2022
• My Commission GG 207555
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REVIEWS FRONT G • SUPERVISOR PLANS VEGETATIONr S A TUR
— COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE • • • • • • • —
RECEIVEDDATEIP
COMPLETED —�� •
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