HomeMy WebLinkAboutAPPLICATION FalangaL APPLICABLE INFO MUST BE CO%*ETED F R AWHIMN TO BE ACCE6ED•
Date: Permit Number:
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�� Buildin Permit ica ,ior.
Planning and Development Services*
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-157%:'ec FAII X idMRia 1
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PERMIT APPLICATION FOR,Window/doo
PROPOSED IMPROVEMENT LOCATION:
9900 S OCEAN DR 1505, JENSEN BEACH, FL 34957
Legal Des OCEANA OCEANFRONT CONDOMINIUM II- UNIT 1505 AND UND SHARE IN COMMON ELEMENTS (OR 630-1536)
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Prooertv Tax ID : 4502-503-0149-000-3
SitP an e: *0c0.
Project Name.
_
Setbacks Front- Back: -Right Side- Left Side.
DETAILED DESCRIPTION OF WORK:
Replace 2 sliding glass doors with urricane Impact sliding glass doors
[CONSTRUCTION INFORMATION:
Additional work to eer formedunder this permit — check a apply: • • • •
MHVAC , L�J Gas Tank •Gas Pipin _Shutters Windows/Doors
E ectnc ❑_ uPl tubing ]Spnn ers / Gene Roo Roof pitch
Totlq. Ft do -S . Ftgf Fir t Floor:
Cost of Construction: i* ttes: Sewer � •pti uilding Height:
OWNER/LESSEE:
CONTRACTOR:
Name Anthony B Falanga
Name: Janet Milici
Address: 101 Greene Ave Sayville, NY 11782
Company: Natural Flow, Inc.
Citayville state: NY
Zip Code: 11782 Fax:
Phone No. 631-664-5047
E-Mail: tfifly@aol.com
Address: 391 NE Baker Rd.
Citilb. State: FL
Zip Code: 34994 -Fax: 772-334-10780
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•
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not A livable_
Name:
Name:
Address:
Address:
City: W State:
City: 4111 State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER.t Ar)DlicableAl
BOND I _Nnt An
Name:
Name:
Addrus:
Add
City: 0
Cit
Zip: Pk
aone:
Zip: phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation 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 wor
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 our Notice of Commencement.
A& its
Signatur of Own / Lessee/Contractor as Agent for Owner
Signat a oCo ractor/License Holder
STATE O O� m , nW� I�
COUNTY OF ft'K- N
STATE OF
COUNTY OFOR�_� + 1
Sworn o (or affirmed) an u crl e e ore o
Physical Prese ce o Online Notarization 0
ts.a %I L �92� by
Sworn to (or affirmed) and subscribed before me of
W_41'h ssical Presence or 0 Online Notarization
thisl� day of 1� i f— �8217 by
Name of person making statement.
�ame of person mmHg sta n
Personally Kn-n•� 0 ProdtTced Identification - •
Type of Identification ,
Produced
'"A& MOA&u
Personally Known • OR Produced Identification—
Type of Ide
Produced
(Signature of Not�rly., uubllii --/State of Florida )
Commission No. ' �a Public State of
0 I J O r►r S ry
Donna Jayne Hall
My Commission GG 207
Si nature of tarr�P�/u c-- St e o rda otary Public State of Flor'
ission No. 20 ` 6 v ; � a Jayne Hall
� � � ( pmm+ss+on GG 2075
ww Expres04115/2022
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