HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- J =
COUNTY
F L 0 R I V
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: 9900 S Ocean DR Apt 1204 Jensen Beach, FL 34957
Legal Description:
OCEANA OCEANFRONT CONDOMINIUM II- UNIT 1204 AND UND SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-503-0118-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
and
Replace
A..I t l ona
2
3 windows,
sliding glass
wor to
HVAC
entry
doors
_Gas
door and
ormes un.ert
Tank
2 sliding
ispermrt—
glass doors
c ec a
Gas Piping
i
with
_Shutters
3 hurricane
app y:
/
impact windows, entry door
Windows/Doors
11 Electric Plumbing Sprinklers - Generator Roof Roof pitch
Total Sq. Ft of Construction: S9. Ft. of First Floor:
Cost of Construction: $ 23,450 Utilities: I - Sewer Building Height: _Septic
OWNER/LESSEE: CONTRACTOR:
Name Mathew Zayne Pamela Zayne Name: Janet Milici
Address: 9900 S Ocean DR Apt 1204 Company: Natural Flow, Inc.
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State: FL
Phone No. 352-817-6875 Zip Code: 34994 Fax: 772-334-1078
E-Mail: MZaYne49@gmaulcom 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.
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.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Name:
Not Applicable
Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable - BONDING COMPANY:
Name:
Not Applicable
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
Signature of Ojkner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sigriture of C' ntractor/License Holder
STATE OF FLORIDA
COUNTY OF M
Sworn to (or affirmed) and subscribed before me of
>< Physical Presence or Online Notarization
this/aVil day of (10116fl60- , AM by
2021
Sworn to (or affirmed) and subscribed before me of
)( Physical Presence or Online Notarization
this /.2day of A/riiZ. ,OW by
Z452
Name of person making statement.
Personally Known K OR Produced Identification
Type of Identification
Produced
(Signature of
Do"o—
t~ry PbIic- State of Florida
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
17Ajv\'
(Si-nature of N. P lic- State of Florida
Commission No. Public State of Fionoa O75' Jayne Hall Co
My Commission GG 207585
pirPc 04/15/2022
mission
ef If 0
14-11
I
My omr,.c,on GO 20758
Expi :s04/15/2022
ga I Public State of Floru
Donna Jayne Hall
REVIEWS FRONT
COUNTER
0
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20