HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAk
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Date: Permit Number:
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Planning and Development Services
Building and Code Regulation Division_
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15780 CO CIal X IVSid Wi�
PERMIT APPLICATION FORioWindow/door
PROPOSED IMPROVEMENT LOCATION:
AddresID10310 S OCEAN DR 503, JENSEN BEACH, FL 34957
Legal ascription: OCEANRISE CONDOMINIUM APT 503 AND UNDIV SHARE IN COMMON ELEMENTS (OR 2574-1981)
Propert Tax ID #: 4511-515-0041-000-1 _ot No—
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Setbacks Front Back: iRight Side— Left Side.
DETAILED DESCRIPTION OF WORK:
ep ace slicling glass door wIhurricane impact sliding glass door
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CONSTRUCTION INFORMATION:
Additional work to be nertormed under tis permit — check all h apply:
AHVAC Gas Tank Gas Piping In Shutters V/ Windows/Doors
ElE el cfnc ❑ lum ing prm < ers , Generafor '� oof f �o �ch
Total Sq. Ft of Construct: _ 0 S . Ft. of First Floor:
Cost of Cons ruc ion: 7,200 t' ties:n Sew_ Sep ing igh
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iOWNER/LESSEE: CONTRACTOR:
Name David J Cuppi Jr Kaii A Coin i
Name: Janet Milici
Address: 1455 Sound Ave
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd.
City: Baiting Hollow _ State: NY
City: Stuart State: FLO
Zip Code: 119330 _ Fax:
Phone No. 631-445-4328
Zip Code: 34994 —Fax: 772-334-1078_
E-Mail: kcoppi@yahoo.co
Phone No. 772-334-1011
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Fill in fee simple Title Holder on next page ( if different
E-Mail: Janet@naturalflow.net
State or County License: SCC 131151263
from the Owner listed above) 0 _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
111IM01i •
DESIGNER/ENGINEERS Not Applicable
Name:
Address:
City: P,
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Zip: Phone
FEE SIMPLE TITLE HOLDER: W Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: 0 Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: •
Address:
City•
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do thework and i 'as irgicat
00thiWo ototallatio4as commenced prior to the issuance of a permit -
County ma es 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. -
consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
`n accord nce oth t16 approv1i plans, the Florida Build Codes and St. Lucie County Amendments.
The foilo�i'ing bT�ildin permit a plications are —exempt from undergoing a full concurrency review: room a itions,
Iccessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use,
ARNING 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, co
�u�
with lender or an attorneybefore commencingwork or recordingour Notice of Commencement. _
(i�' •• • •All �•Ou- • r., .Ism •
Signatur of O/-nLessee/Contractor as Agent for O er
STATE O DA
COUNTY OFF OIYIA-T�
S> worn to (or affirt'4f€d)"ndt bribed before me of,_
iC Ph sical Presence orb Online Notarization
thisR day ^of• P—I L 10217 by
Name of person ma g state.
Personally Known 101 OR Produced Identification _
Type of Id iciition
Produced --�1
(Signature of No�tryubli(-)State of Florida )
Commission No. Lc/ ) oT.*O' Seery Public State of
Donna Jayne Hali
My Commission GG 2
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u a of Co r r/Lice seiolir_
STATE OF FLORIDA
CO U ITYtw[;4
Sworn to (or affirmed) and subscribed before me of
Physical Presence or ne Notariz
this 2_s day of AP91 t- �aezo- by�
• • J OLAC,+ *"`, il; (-; •zo 2
Name of erson making statement
Personally Know �OR Produced I enti ication
Type of IdentificationM _
Produced
'Signature of tar PuHidc St a o�F1f�da�otary Public State of F
�a Donna Jayne Hall
lom fission No. �t/�Sp y ( IpmmssooGG2
5. • •yaw Ezpu°s04/15/2022 ,
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