HomeMy WebLinkAboutBuilding Permit Application - REVISED 4/21/21 ALL APPLICABLE INFO MUST BE Colt T D FOR A&ICATION TO BE ACCEWED •
Date: 4-20-21 Permit Number:
BuiAMg Permit A Iication
Planning and Development Services
Building and Code Regulation DivisioTi
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-157816CowrwiCial X %Is _
PERMIT APPLICATION FOR: Window/door
A dres : 9900 S OCEAN DR 503, JENSEN BEACH, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 503 AND UND SHARE IN COMMON ELEMENTS
P 01e*TaxI
4502-503-0047-000-8
i ame: �0.
Project Name: _
Setbacks Front— Back: Right Side. eft Side.
DETAILED DESCRIPT
Replace 2 windows and I sliding glass door with urricane Impact windows and 1 hurrlcane Impact
sliding glass door
CONSTRUCTION INFORMATION:
Additional work to r orme un er t is permit—c ec a app y:HVAC Wi Gas Tank Gas Piping _Shutters Windows/Doors
E el ctric ❑ Plum ing �Sprin ers El Generator El Roof oo pitc 171
" ?"C ZTion: �S . Ft! Fi st Floo6 -
Cost of Construction: 9,650 URies: Sewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Janine Carmem Heavin Name: Janet Milici
Address:34144 Jewell DR Company: Natural Flow, Inc.
CitipSterling Heights State:MI Address: 391 NE Baker Rd.
Zip Code: 48312 Fax: M City: Stuart State:FL
Phone No.586-604-8192 o Zip Code: 34994 Fax: 772-334-107440
E-Mail: 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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City:M State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not A licabl
Name: Name:
Address: Address:
City: M Cit
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a pert t o the a ' tallation 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 0
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 recording our Notice of Commencement.
signatur of Own /Lessee/Contractor as Agent for Owner Signat a of Co ractor/License Holder
STATE O ORIDA STATE OF FLORIDAn�0++ '
COUNTY OF COUNTY OFft
l�i}11 N
Sworn to(•affirme an u Ibed bef m�of Sworn to(or affirmed)and subscribed before me of
Physical Pre ence o" Online Notarization 4"hysical Presence or �ne Notarizatiq�
this! * I•Mdca f n W (L T92ff by this day of "P_1 L '.2ftm by •
Name of person making statement. Name of Derson making statement
Personally Known • OR Produced Identification — Personally Known OR Produced Identification
Type of Identification 0 Type of Identification —
Produced Produced
ok7
(Signature of Not ry bli State of Florida ) Si natur of tar Pu -St e o rida otary Public State o lori a
40 I> y�( ; Donna Jayne Hall
5� r.,, s ry Public State of o om ission No. ZU�✓v ` 4 mission GG 2075
Commission No. ,�` Donna Jayne Hall �' es
My commission GG 207 5 • w��( ExP�r 5 04/15/2022
F
REVIEWS FRONT G • SUPERVISOR PLANS •E•10% SE TUR •
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
COMPLETE D -P01 4111� •
ev. •