HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY
F L 0 R I 0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Window/door
Address: 10680 S Ocean DR Apt 610 Jensen Beach, FL 34957
Legal Description:
ISLAND CREST CONDOMINIUM UNIT 610 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0067-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 3 sliding glass doors with 3 hurricane impact sliding glass doors
140 4
..itiona wor to 'epe
HVAC _Gas
ormet un.ert
Tank
ispermlt —c ec a
Gas Piping
at
I _Shutters
app y:
/ Windows/Doors
11 ElectricLII Plumbing _Sprinklers _Generator Roof - Roof pitch
Total Sq. Ft of Construction: S of First Floor:
Cost of Construction: $ 29,500 Utilities -Ti-- Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Michele A Bouquet - Name: Janet Milici
Address: 10680 S Ocean DR Apt 610 Company: Natural Flow, Inc.
City: Jensen Beach State: FL Address: 391 NE Baker Rd.
Zip Code: 34967 Fax: City: Stuart State: FL
Phone No. 772-919-2826 Zip Code: 34994 Fax: 772-334-1078
E-Mail: Michele_bouquetyahoo.com Phone No. 772-334-1011
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.
Sig ture of C' ntractor/License Holder
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Phone
MORTGAGE COMPANY:
Name:
Address:
City: State:
Zip: Phone: Zip:
FEE SIMPLE TITLE HOLDER: - Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Not Applicable
OWNER! CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
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 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.
Signture of O/iner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ti/I A&T
STATE OF FLORIDA
COUN TY OF y}'lPrfl i
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
day of c.:-1e1 , by
ZOZj
Sworn to (or affirmed) and subscribed before me of
)( Physical Presence or Online Notarization
of 0Ci2, —by
ZôZI
Name of person making statement.
Personally Known K OR Produced Identification
Type of Identification
Produced
(Signature ofry Pblic- State of Florida
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Si -nature of N. P tlic- State of Florida
Commission No. (SY Public State of Florida Co na Jayne Hall
My Commission GG 207585
Epi c 04/1/2022
mission No.O '75 (
My C' m,SiOfl GG 20758
Expi as o4/15/2022
I Public State of Fioricka
Donna Jayne Hall
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/ 20
FRONT
COUNTER
SUPERVISOR PLANS VEGETATION
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