HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl�
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Date: Permit NU nber:
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BuildingPerm i?A'pli!tion
Planning and Development Services
Building and Code Regulation Divisio�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15780 CO Cial X 4esidential
PERMIT APPLICATION FOR,Window/door
"POSED IMPROVEMENT LOCATION:
Addres$09940 S OCEAN DR 706, JENSEN BEACH, FL 3495
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 706 AND .7120 PERCENT INT IN COMMON ELEMENTS (OR 2954-1959)
Property Tax ID #: 4502-502-0073-000-6 _ Lot No._
SIPPlan Nike:6 Block No.
�oiec am
Setbacks Front 0 .Back: Right Side: Left Side*
DETAILED DESCRIPTION OF WORK:
Re ace I win ow an 2I s Ing g ass doors To 1 Furricane impact window and 2 sliding glass oors
CONSTRUCTION INFORMATION:
Additional work to beertormed under this permit — check all apply: • • - •
AHVAC L� I Gas Tank •Gas Piping _ Shutters Windows/Doors
❑�l C is ❑ um Ing pr s , G Pe; jr r I oof f L �o pitch
Total Sq. Ft of Construction. S.Ft.. of First Floor•: _
Cost f Co c n: 15,600 Util i• LJ S-� S •
OWN ER/LESSEE:
CONTRACTOR:
Name Andrew Hack
Name: Janet Milici
_
Address: 9940 S OCEAN DR 70
Company: Natural Flow, Inc.
City: JENSEN BEACH State: FL
Address: 391 NE Baker Rd.
Zip Code: 34957 - Fall.
City: Stuart _ State: FL*
Phone No. 772-208-0283
Zip Code: 34994 —Fax: 772-334-1078_
E-Mail: dahacks4@comcast.net
Phone No. 772-334-1011
_
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)
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 Applicable•
Name: Name:
Address: Address:
City: jai: • City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify th o woO oinstallatioi as corn nced por toissuance #a pert.
t. Lucie County ma es no represen ation tha Is granting a permit will aut prize the permit ho er to uild;twice
ect structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may rr prohibit such
tructure. Please consult with your Home Owners Association and review your deed for any restrictions whapply.
consideration. of the granting of this requested permit, I do hereby agree that I will, in all respects, perforork
accord cethapprovi plans, t da Build Cod and St. Luci,Cou* Fjo*nts.
he folio 11 9 b'Gldl permit a plication empt fro und0going a full cancurTenc1 room ad
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another nontial
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in payinfore •
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,
with lender or an attorney before commencing work or recording your Notice of Commencement.
Sl re of Ow ess a/Co ract r as n for Own r
6W�
STATE OF
COuaTY OFORIDA M hlZMI
Sworn to (or affirmed) and subscribed before me of is
-)Wv sical Prese ce or "online Notarization
this' day of L ,i9i9-by
■j—�isNnIi,,L,.
Name of person aking s atemen
Personally Known OR Produced IdentificatioAm
Type of Ide -
Produced
ielhature of N
ure of
STATE OF FLORIDA W W
COwO 0ALTTI
Sworn to (or affirmed) and subscribed before me o
U,hysical PrgLence or a Notarizatiol
day o 21 r— - a9ie-by
AeAYA,
Name of person makine statement.
Personally Known ; OR Produced lden=—
Type of Identification_ —
Produced*
Notary Public State, of
tateof lonoa
Com ission No.� / ✓ S`calbonna Jayne Hall Com
• o Y My Commission GG 20 585
�40,1 oa Expees 04/15/2022
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REVIEWS FRON ZONING SUPERVISOR LANS
COUNTE REVIEW REVIEW REVIEW
DATCE RIVED • • • Ole
DATE
COMPLETED
ev. 5/6/20
r/ 5g a►► os Not Public State of F
ion No. I D a fn, (a Jayne Hall
' My Commission GG 20
?_ ,IF Expires 04/15/2022
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VEGETATION
REVIEW
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SEA TURTLE MANGROVE
REVIEW REVIEW
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