HomeMy WebLinkAboutAPPLICATION HaringDate: Permit Number:
J .- +1�1
•
RR111dii Ae'rmil""Alliction
Planning and Development Services -
Building and Code Regulation Divisic
2300 Virginia Avenue, Fort Pierce FL 34982
rione: (772) 462-1553 Fax: (772) 462-15780 COCIal X *esidfgiai
PERMIT APPLICATION FOR,Window/door
PROf'OW—UPROVEMENT LOCATION:
Addres109600 S OCEAN DR 405, JENSEN BEACH, FL 3495
4110
Legal Description: EMPRESS CONDOMINIUM UNIT 405
Pr�perTax 4502-620-0023-000-4 L�No.__
_
00N oje L
SetbaFront Back: IbRight Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Rep ace win ow, s I Ing g ass cloors ancl an entry oor wi a nurricane impact win ow, "ing
glass doors and entry door
CONSTRUCTION INFORMATION:
Additional work to eper orme under this permit - check a apply: • •
�HVAC Gas Tank *Gas Piping _ Shutters V� Windows/Doors
E ec ric , ❑ umMn,� prin ers , Generator '� oof.= •oof•ch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Co -Co 21,620 s _ S"�:p igh�
OWNER/LESSEE:
CONTRACTOR: -
Name William George Haring (TR) Linda Mott Haring (TP _
Name: Janet Milici
Company: Natural Flow, Inc.
Address:4100 NE 25th AVE
City: Fort Lauderdale _ State: FL
Address: 391 NE Baker Rd.
City: Stuart I tate: FL_
Zip Code: 34994 -Fax: 772-334-1078-
Zip Code: 33308 dommwax:
Phone No. 954-465-3466 _
E-Mail: Lbbb4@aol.com
Phone No. 772-334-1011
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Janet@naturalflow.net
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
Name: • • •
Addr s: >,
City State: •
Zip: Phone
FEE SIMPLE LE LD Not Applicable
Nam
Address:
City.
Zip: Phone:
MORTGAGE COMPANY:
Not A licable
Name:
•_ •
Address.
City
State:
Zip: Phone:
BONDING COMPANY: _Not A licable
Name
Addr
City
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to d the rc and inindicated.
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
#ructure. 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 • _
�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
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.
Signat re trw er/ Lessee/Contractor as Agent for Owner Sig ature of ntractor/License Holder
STA�C UTNTY OFE OF O 11' 1 A"-TI 0 COUNTRIDA 0 STATE OY OFOR� iq �T `N
0 S- to (or of irme an su scri qd Pefc f J1� Sworn to (or affirltd)*d s sscrib0 beformto
Physical Presence or •Online Notarization Y Physical Presence or Online Notarization
this 1114-clay of 41L1A-1 1 2820 by this to day of ;go-by
• • • iri- I I i cs � • ��'1(� � I i L, z-v
Name of person making statement. me of person ma g stat t.
Personally Known OR Produced Identification Personally Known _- 'C OR Produced Identification —
Type of Identificatio Type of Id
Produced Produced-
INK71 r
TSiiilkature of N tary ubli State I i of N ary Pub' - St I
sJr'+y Notary Public State of
Comknission No. ll// // ✓ O f SCal�jonna Jayne Hall
lontla "o Not Public State of From
Com Sion No. 7�`r^ (a Jayne Hall
• • v� t My Commission GG 20
4' Expires 0an512022
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585 • • M My Commission GG 20, 58
40, �o Expires 04/1512022
PLANS VEGETATION SEA TURTLE MANGROVE
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