HomeMy WebLinkAboutAPPLICATION Desousa•
1
" LEI O UST BE CO �LETED FOR APPLICATION TO BE ACCEiTED
Date: Permit Number:
•
-" BuiIdiIn' Permit Ap lication
Planning and Development Services•
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
X
Phone: (772) 462-1553 Fax: (772) 462-157%C0 C,I RIMS I en lal - •
PERMIT APPLICATION FOROWindow/door
10310 S OCEAN DR 201, JENSEN BEACH, FL 34957
Legal Description: OCEANRISE CONDOMINIUM APT 201 AND UNDIV SHARE IN COMMON ELEMENTS
Pro ertTax ID #: 4511-515-0009-000-5
Sit P N�: cN0.
Project• •
Setbacks Front— Back: Right Side Left Side.
DETAILED DESCRIPTI -FARK:
Replace 2 windows with 2 hurricane impact windows
CONSTRUCTION INFORMATION:
Additional work to Vertormed under this permit — check all apply: •
�HVAC Gas Tank Gas Pi in Shutters Q Windows/Doors
•�EI c ❑Plumbing •�Spri Generator 'El Roof Roof pitc
T t Co d on: - S. FtR t Floo
1 4
— t "❑�
1,950
Cost of Construction: $ Utilities: Sewer Septic Building Height:
ONTRACTOR:
Name Douglas J DeSousa
Name: Janet Milici
Address:202 Daniel Rd N
Company: Natural Flow, Inc.
CitPMassapequa State: NY
Address: 391 NE Baker Rd.
City: Stuart State: FLU
Zip Code: 11758 Fax:
Phone No. 516-697-7492 M
Zip Code: 34994 • • • Fax: 772-334-1078• •
E-Mail: dooglas@optonline.net
Phone No. 772-334-1011 •
Fill in fee simple Title Holder on next a e ( if different
E-Mail: Janet@naturalflow.net• •
State or County License: SCC 131151263 • •
from the Owner listed above)
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: 0 State: City: M State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not A licable BONDING COMPANY: Not AnnlicablpAk
Name: = Name:
Address: Address.
City: Cit
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a per t to dot wo and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit 16 •
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structured
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 worlo
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
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 your Notice of Commencement.
Signatur¢ of
r as Agent for Owner
STATE OFFCORIDA
COUNTY OF Iil1-�� I� •
Swon to (affirme an su scn e bef�o
MM:
Physical Presence orb Online Notarization
thisj�-d`ayp'off ff� pit— 2MU' by9
Name of person making statement. 00
Personally Known �• OR Produced Identification _
Type of Identificat'
Produced
r,
L-A
Signature of Coryfractor/License Holder
STATE O FLF ORIDA� 40 ++ ''
COUNTY OF *mW( N
Sworn to (or affirmed) and subscribed before me of
J"hysical Presence or Online Notarization
this J5 'day of /V- Ll t— 49_ by
Name of person making statement.
MM=
Personally Known /` OR Produced Identification
Type of Identification • • • —
Produced
(Signature of Notrybli(2)IState of Florida) Si nature of to PubW- St a o�FLqrriidaaotary Pubic State o for a
r x Public State of o -7 p Donna Jayne Hall t
Commission No.�q �� d✓(Sery om fission No. GU�S p_ �(gpmmission GG 2075
Donna Jayne Hall,' j Expires 0411512022
My Commission G- orG 20 5 °'~
n �
REVIEWS FRONT G • UPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
_ COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE • • - • • • —
RECEIVED
DATO
COMPLETED •
ev. ---