HomeMy WebLinkAboutAPPLICATION Masseynn T nr
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Date: Permit Number:
13611ding PMrmiteRmpolicafloi-,
Planning and Development Services -
Building and Code Regulation Divisio�
2300 Virginia Avenue, Fort Pierce FL 34982 one: (772) 462-1553 Fax: (772*2-1j8�•Coacial X 2sidLtial _
PERMIT APPLICATION FOR,window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 9490 S OCEAN DR 412, JENSEN BEACH, FL 34957
Legal Description: OCEAN TOWERS CONDOMINIUM A- UNIT412 AND UNDIV SHARE IN COMMON ELEMENTS IlIgIIgo
Prue rtTT ID #: 3535-701-0027-000-9 Lot No.
e an no.
Project Name: _
Setbacks Front Back: -Right Side- Left Side.
DETAILED DESCRIPTION OF WORK:
Replace 5 windows and 1 Sliding glass door witil b Murricane impact windows and 1 ot Sliding glass
dooi,
=C-QNSTRUCTION INFORMATION:
r orme under this permit — check a apply: • • • -
Additional work to VOGasTank
�HVAC Gas Piping _ Shutters Windows/Doors
ooo pItcl
❑ E ec ric ❑ uFl mbing prin ers , M Gener U11I
=,OL
gf Fi t F oor:
T al q. F of C nstr tion: SIn
oC sat of Construction: 13,500 i sties:Sewer �Septi uilding Heig
OWNER/LESSEE:
CONTRACTOR: 1
Name Deborah Massey (TR)
Name: Janet Milici
Address: 9490 S Ocean DR Apt 412
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd.
Cit)kensen Beach _ State: FL 0
Zip Code: 34957 0 Fax: _
Phone No. 602-647-9013
City: Stuart _ State: FLO
Zip Code: 34994011111111110 Fax: 772-334-107840M
E-Mail: 1drmass@gmail.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. ,
E
DESIGNER/ G E t r 10je I MORTGAGE COMPANY: � Not Applicable•
Name: Name:
Address: Address:
City: State. City:
Zip: Phone Zip:w Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zi Phone: Zip: Phone:
-a !
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
cerir th o work or installation has cornmer#770*ail
t. Lucie County makes no represen a ion a isoganot*077*777ize' e permit ho er to build the subject stru%cture
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
tructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in actor rice Ith t� approv d plans, the Florida Build g Codes and St. Lucie County end nts
�he folloa6ing ildin permit plications are exempt fr undergoing a full concurren revile room additions,
accessory structures, swimming pools, fences, walls, signs, screen roo� and accessory use anothnon-residuse
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, consult
_ with lender or an attorney before commencing wok rT recording your Notice of Commencement.
=• • 0 ,• a =
Si nat re of Ow er/ Lessee/Contractor as A e it for Owner• • ature of ntractor/License Holder
STATE OF FLOR D I� �TE OF F�
COUNTY OF TIN COUNTY OFT► ►�!
Sworn to (or affirmed) and subscribed before me o% Sworn to (or affirmed) and subscribed before me o
Physical Presence o Online Notarization Y Physical Presence or Online Notarization
this :!� day of Nl A:!j 2628 by _ this 1,10'day of ( AEI LLO� by_
Lozl W.02l
Name of person making statement. Name of person making statement.
Personally Known OR Pro uce I enti station ersona y no wn �• �lepbMi,d
Type of Identification • Type of Identification
Produced Produced
ill-em, jsQ.0
r•
Sig ature of N tart' ubli State I i 11 re of Nkary)PubMi St I
�/} '+votary Public State of lonoa • o dr► a Not Public State of n
Com. fission o. % 5�5'' a onna Jayne Hall Co Sion o. 7 D a Jayne Hall
My Commission GG My Commission GG 20756
q� ho xprtes 04I15/202 T ?« �o'� Expires 0411512022
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E I • FRONT • ZONING UPERVISOR PLAN VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEV��l2EVIEW REVIEW �OREVIEW •� REVIEVAM REVIEV4D
R C�ID
CO PLETED _ _ _I