HomeMy WebLinkAboutAPPLICATION McCUEN•
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
MOP6-7-21
Permit Number!:
•
GiildilIg PAlmit ApficatidPf
P onning on Development ServicesW
Building and Code Regulation Division-
2300 Virginia Avenue, Fort Pierce FL 34982 % •
Phone: (772) 462-1553 Fax: (772) 462-1578� Commercial Residential
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 9400 S Ocean DR Apt 903 Jensen Beach, FL 34957-3003
APPAROCEAN TOWERS CONDOMINIUM B- UNIT903 AND UNDIV SHARE IN COMMON ELEMENTS (OR 4000-2192) %
Property Tax ID #: 3535-702-0066-000- Lot No.
Site Plan Name: Block No—
_ _
P o ec a—
et ac s ont jack: Big1bSid� IejSid1
7
DETAILED DESCRIPTION OF WORK:
Re iIAe"* 'o 6d0*0 �ith hLf�icarjepRct "doi —
i • •
'CONSTRUCTION INFORMATION:
Additivi wor to be er gym under tis p - iec app
*HVAC Gas Tank Was Piping Shutters iWindows/Door
_
�E :0 bi �Prinklers P#]Generator MA Roof F Roof itch
—14
Total Sq. Ft of Construction: _ S Ft. of First Floor••: _
ai0: 1,800 AS�ptiC4411111111111111likuilding
Cc�of Cc-t Utilities. Seltr Height:—
me • i
OWNER/LESSEE:
CONTRACTOR:
Name: Janet MiliciIIIIIIIIIIIIII
Name Timothy McCuen Laurie Grissman
Address: 9400 S Ocean DR Apt 903
Company: Natural Flow, Inc.
City: Jensen Beach State: FL'
Address: 391 NE Baker Rd.
City: Stuart State: FL -
Zip Code: 34957 41111111111111111111111max: — i
Phone No. 772-260-50660
Zip Code: 34994 *Fax: 772-334-10780
E-Mail:
Phone No. 772-334-1011
_0
Fill in fee simple Title Holder on next page ( if different •
E-Mail: Janet@naturalflow.net
from the Owner listed above)
State or County License: SCC 131151263
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNE
Name: 4
Address:
City:
Zip:
Not Applicable so
State:
Phone � •
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY Not Applicable•
Name:
Address: ,
City:
Zip: Phone:
Not Applicable BONDING COMPANY: • Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONT AR CTOR AFF : Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commen e prior to the is ua a of a0er
k."e Cdifnt a e no rep e ntMtha ` nti a e it0il uthorii� t rmit hol r to build th bj t structure
which is in con lict 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.
1 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 end nts AD
the following building permit applications are exempt from undergoing a full concurrenOrevie�room additions,
ccessory structures, swimming pools, nces, walls, signs, s# o c sory use anoth on-residl us
If
ARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for'♦ Is
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 your Notice of Commencement.
i % 1 i • • • �•
Si n�at re of Ow er/Lessee/Contractor as Agent for Owner • Sig ature of ntractor/License Holder
STATE OF FLORIDA • S TE OF F � • •t
COUNTY OF WkA�TI r j COUNTY OF rAA�T( (u
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed be ore me o
Physical Presence or Online Notarization � Physical Presence or Online Notarization
this day of-�OOL 2820 by this'I day of JiJIS� ;z&2�by�
J am+ r -%Ik, zozl �& YAI k -, • W --I ��
Name of person making statement. ALName of person making statement.
Personally Known ro uce I enti ica ion ersona y now X d I
Type of Identification • Type of Identification
Produced Produced
, a
Sig ature of N tart' ubli State i re of N art' Pub ' - St I
11r7 �/ •'+, Notary Public State lonoa o of Public State of
n
Coml�rnf bTfp�p. �V I �o I albonna Jayne Hal Com •ne 7 �D �`� j=tya Jayne Hali k
• Y M Commission GG 0 5 M Commission GG 20, 58
¢� do Expnes 04/15/2022 },,, ,moo .,cprres 04115/2022
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SOR I PLAN
E WS FRONT ZONING SUPERVI* VEGETATION SEA TURTLE MANGROVE
COUNTEF• R�• REVIEW • REVIEW +SREVIEW - REVIEVu+ .REVIEW*DAT�
RECEIVED • • • • • • • ��• •
COMPLETED I -"IM-L - — - — — _� - - —
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