HomeMy WebLinkAboutBUILDING PERMIT APPLICATION Hoare-ATLAP LICA L 1 '� P UST BE ""^' �r ^ ^^^ "^^' ^T' ^' T ^^ ^ r^T�^
• •` • '- _
Date: ��ermit Number:
Bulling Permil lica Ion
Planning and Development Service • • _
Building and Code Regulation Divisio'h -
2300 Virginia Avenue, Fort Pierce FL 34982
one: (772) 462-1553 Fax: (772) 462-157891CO Cial X LISid�tij • -
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 10310 S Ocean Dr 103 Jensen Beach, FL 34957
Legal Description: OCEANRISE CONDOMINIUM APT 103 AND UNDIV SHARE IN COMMON ELEMENTS (OR 635-930)
Pr ert Tax ID #: 4511-515-0003-000-3
o1ec ame:
Setbacks Front— Back: ilIM0111i Right Side: — Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a sliding glass door with a hurricane impact sliding glass door
:3
[CONSTRUCTION INFORMATION:
Additional work to e er orme under this permit - check a apply: • •
iping _ Shutters a Windows/Doors
WHVAC E] Gas Tank *]GaOn
ec Elum n P nng �Sppers C E enera or •f •� oo pitch
•
Total S . Ft of Construction: S . Ft. of First Floor: _
os o o ru o 6,700 ew [�] p g ig
OWNER/LESSEE:
CONTRACTOR:
Name Steven D Hoare
Name: Janet Milici
_
Address: 10310 S Ocean Dr 1030 •
Company: Natural Flow, Inc.
City: Jensen Beach —_ State: FL
Zip Code: 34957—Fax:
Phone No. 772-224-910 _
E-Mail: tashoare@aol.co
Address: 391 NE Baker Rd.
City: Stuart _ _ tate:_F 0 9
Zip Code: 34994— Fax: 772-334-10780111111111111111111,
Phone No. 772-334-1011
E-Mail: Janet@naturalflow.net
_
Fill in fee simple Title Holder on next page ( if different •
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.
DESIGNER/WGIM ot:pp c� q
MORTGAGE COMPANY: 401MINot Applicabl
Name: _
Name:
Address:
Address:
City: S
City S
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.
sua per it
c th work r in p*ppermi
t.ucle County ma <es no representation a is granting awil al uif—prize t permit ho er to ul t e su sect s rut ure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit suc .
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, rfor, the
in actor nce with t� approv� plans, rida Buil Codes and St. Lucie County Amendments •
0exempt
The follo�Ging buildin permit plicatio0 from undergoing a full concurrency review: room additio s, —
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 St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, co suit
with lender or an attorney before commencing work or recording your Notice of Commencement.
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Si Ig gat re. of Ow or/ Lessee/Contractor as Agent O�. Sig ature of n mctor/License Holder
WT
STATE OF FLORIDA I • ' FOFLORIDAY-T
�COUNTYOF T1 fJ N
Sworn to (or affirmed) and subscribed before me ofe Sworn to (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization Physical Presence or Online Notarization
this d day of _, by _ this :lday of SUl.1 C 202 by_
J f �, I*�, • L� Z 1, _ �jc�,� ��- � ; � � �; • .z-� � I
Name of erson making statement Name of person making statement.
Personally Known OR Produced Identification ersona y nown l�OR Produceden ica ion
Type of Identification - Type of Identification_
Produced Producad
Sig iature of N tart' ubli State i re of Nkaff ub' - St I
Ir7 �/ ota Public State of lorioa "� Not Pubic State of on a
om issio-- n Igo. c7� / �o ort a Ja ne Hall Co • 7 �� =� a Jayne Hall
My Commission G � My Commission GG 20758
? o xpires 04/151202 ?a 10 Expires 04/15/2022
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