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HomeMy WebLinkAboutAPPLICATION JACKSONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: COUNTY F 1 0 R 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 PROPOSED IMPROVEMENT LOCATION: Address: 9940 S Ocean DR Apt 701 Jensen Beach, FL 34957 Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 701 AND 8625 PERCENT INT IN COMMON ELEMENTS (OR 4014-1287) Property Tax ID #: 450250200680008 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace 2 windows with 2 hurricane impact windows CONSTRUCTION INFORMATION: Additional work to be HVAC - performed under Gas Tank this permit - check all Gas Piping ;hat - apply: Shutters [Li Windows/Doors 11 Electric Plumbing P1 Sprinklers - Generator Roof Roof pitch Total Sq. Ft of Construction: S9. Ft. of First Floor: Cost of Construction: $ 3,570 Utilities: I Sewer Building Height: _Septic OWNER/LESSEE: CONTRACTOR: Name Deborah C Jackson Name: Janet MiIic Address: 9940 S Ocean DR Apt 701 Company: Natural Flow, Inc. City: Jensen Beach State:FL Address: 391 NE Baker Rd. Zip Code: 3457 Fax: City: Stuart State: FL Phone No. 203-414-8568 Zip Code: 399 Fax: 772-334-1078 E-Mail: dacjackbq©gmail.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: soc 131151263 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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: Address: City: City: Zip: Phone: Zip: Phone: ntractor/License Holder ature of Sig 2_0Z 1 LYlC- ciY\¼cc' sion No. -Ci7 g 1Jri ,tQtTh' Public State of Florida I . (R*ia Jayne Hall My Commission GG 20758 Expires 04/15/2022 Sworn to (or affirmed) and subscribed before me of Phsica 2.l Presence or Online Notarization this day of xiOSe __ ,O -by 2-62-1 Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced ig ature of NubIii'. State Commission No. I'Y' It 6_4 /Xv• Notary Public State of Florida a, bonna Jayne Hall Corn ... / My Commission GG 207585 .pre 04/15)2022 0.1t.. DATE RECEIVED DATE COMPLETED ev. 5/6/20 IIEWS FRONT COUNTER VEGETATION REVIEW STATE OF FLORIDA,I ( COUNTY OF Sworn to (or affirmed) and subscribed before me of $ Phsical Presence or this2q day ofO-'TOfZ Name of person making statement. Personally Known ,k OR Produced Identification Type of Identification Produced Online Notarization - by SignatiIre of Ow/len Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF t'14Ai2ii t-J RE SUPERVISOR REVIEW PLANS REVIEW ZONING REVIEW SEA TURTLE REVIEW MANGROVE REVIEW 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.