HomeMy WebLinkAboutBUILDING PERMIT APPLICATION Sherkness%LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D�6- - Permit Number:
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Ailding Permit AA$plication •
Panning and Development Services
. Building and Code Regulation Division-
2300 Virginia Avenue, Fort Pierce FL 34982 % •
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT AjfLICATION FOR: Window/doors
PROPOSED IMPROVEMENT LOCATION:
Address: 10310 S OCEAN DR 209, JENSEN BEACH, FL 34957
Le — D•crtion: OCEANRISE CONDOMINIUM APT 209 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-515-0017-000- Lot No. —
Site Plan Name:* Block No—
— KI M
ront *Back
DETAILED DESCRIPTION OF WORK:
igiSidb Left Sidb_
Re�lacf 3"dow ith 3 eeca: i��ct-d0 S
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CONSTRUCTION INFORMATION:
Agaitiotldl work to n��ibrr`6
unaer tnis pecK ri app�
�HVAC Gas Tank Was Piping Shutters
a in ows/Door
III ctric 0 P mbin LS nnkIers n ra or Roof Roof itch
PM
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of ConstrUCtlOrt: $ 2,425 Utilities: Sewer A Se tic~ Building Heigh
OWNER/LESSEE:
Name Alphose Sherkness Eric Jedrzej
Address: 17270 75TH PL
CONTRACTOR:
Name: Janet Milici
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd.
_
City: Loxahatchee Grove State: FL
Zip Code: 33470 Fax
City: Stuart 0 State: FL_
Zip Code: 34994 Fax: 772-334-10780
No. 772-334-1011
Phone No.267-307-4943
E-Mail: Ecjb9@aol.com 0 0
Fill in fee simple Title Holder on next page ( if different •
from the Owner listed above) •
#one
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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DESIGNNot Applicable MORT�O":•,_Joippiable
Name:N
�E Name:
Address: Address:
City: State: 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:
AIV
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cer ff th t no rk or installation has om enced prior to the issuan of Om
i .St. LITc e C unty ma <ei s no represe�aTldRth t s ants b a per ,01h0ermit 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 proh it 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 approv d plans, the Florida Building Codes and St. Lucie County Amendments. _
The following building permit plications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fces, wa6 signs, scr�roocry ano o - es n i use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in pyintw 0
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 your Notice of Commencement.
• 1• :•
Signat re of Ow er/ Lessee/Contractor as Agent for Owner• Sig ature of ntractor/License Holder• -
STATE OF FLOOD � • STATE OF FL9M
COUNTY OF Wk Tl COUNTY OF
Sworn (• affirmed) and subscrit)eci IDeTore me ofW Sworn to or a irme ancl sunscrinecl SeTore me o •
Physical Presence or Online Notarization Physical Presence or Online Notarization
this ram_ day of Jl)"(g 828-b g,,is � ay f .y110E 982 by
Name of person making statement. Name of person making statement.
Persona y no Jr OucWee Ion
Type of Identification -
TSigdi ature of N tauubliMSta
ComIrnissio= c��rI � / 59
Notary Public State of
ealbonna Jayne Hall
r .r..Y My Commission GG
44o� xP.res 04115/202M
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
DATERECFIS-• - - - •� - - -
COIoPLETED �—
Persof lly Knoll )( Produlk I n
Type of Identification
Produced � �� ,, •
l � AI, 4f � AA i;•�� M •
4ZK9Q ire of Ndary PubM- St
C7 L g Not Public State of F
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aJayne Hall
My Commission GG 20
?„_ „o�F xpires 04175/2022
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