HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONDate Permit Number:
1-- - ?uillirg ermit Application
Planning and Development Service
Building and Code Regulation Division
�2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462�5 �COPrial x �iC"tit
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
9960 S OCEAN DR PH101, Jensen Beach, FL 34957
Legal Description: THE MIRAMAR II UNIT PH101 (OR 784-153: 2885-1518)
00,
erty Tax ID #: 4502-702-0086-000-4 Lot No. 0
-A
P a ame. B oc o.
�rolect ame:
Setbacks FronA�Wll Back:M11IIIIIII110_ Right Side: -Left Side:
DETAILED DESCRIPTION OF WORK:
FZ-eplace 4 fixedwindows and 4 sliding glass doors with 4 hurricane Impact fixed windows and 4 sliding
glass doors
i
[CONSTRUCTION INFORMATION:
AaCiltlonai worK to 1) ertormea under tnls permit — cnecK aiiI
apply: , • •
�HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
eEl ctric ❑_ P um ing ESprin ers enera or , El Roof goo P11 c
oftl Si. Ft of Construction- 0 ft S . FT*of First Floor: _
Cost of Construction: 47,250 • ti : _ ewer D Septic 40 Building Heigh_ _
OWNER/LESSEE:
CONTRACTOR:
Name 9960 Ocean Drive LLC c/o Andrew Conti
Name: Janet Milici
Address: 1795 Hazel St
Compan Natural Flow, Inc.
Addres91 NE Baker Rd.
Ci# Birmingham State: MI
Zip Code: 48009 Fax: 40
Phone No. 248-464-2874
City: Stuart _ State: FL
349940 -_ Fax: 772-334-1078
Zip Code: _
Phone No. 772-334-1011
_
E-Mail: amanda.conti-duhaime@stellantis.com-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Janet@naturalflow.ne
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 MORTGAGE COMPANY: _ Not Applica •
Name: Name:
Address: Address:
City: State: City State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Ap licable BONDING COMPANY: Not A licable
Name: Name.
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permwoww"iw
s i icated
#certify that no work or installation has commenced prior to the issuance of a permit. 4
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 work
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 S .
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording your Notice of Commencement.
Signat rew er/ Lessee/Contractor as Agen for O�yy�r
STATE OF FLORIDA y*
COUNTY OF 01/ A-4'TJ 0
Sworn to (or affirV) It • sribOd bgfoWof -
P slcal Presence or Online Notarization
this day of 2820 by
Name of person making statement.
Personally Known A OR Produced Identification_
Type of Identification
Produced
ure of N&tarvV)ubl
qW V I �r Dry Notary Public State of
Com'rnission No. o V / J 0 5lalbonna Jayne Hall
- • • • • r�: ECommission 2
Ex
pres 04l15I202222
Sigkature of C,1ktractor/License Holder
STATE OF FLORIDA . •,
COUNTY 01 F1111 •
Sw rn to (or affirm0d)gnd• bribed bef0e A,#
APhsical Presence or0 Online Notarization
this io_ day oLf ae2-o-by
Name of person mak'g statant.
Personally Known OR Produced Identification -'
Type of lcle�ication AM
Produced
�of ary Pub I
coda e"o �N�ot�y Public State of Flom
Corn' sion No. _trF; (�Yla Jayne Half
585 • • My Commission GG'n 58
�? .,o-P Expires 04/1512022 dh
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTL MANGROVE
so COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW OREVIEWO
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