HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALRPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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'BMIIdilrTPer�it it A711ilatME%
Planning and Development Services
Building and Code Regulation DivisiorIIIIIIIIIIIIIIIIIS
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: 462-15786 Commercial X IfResidential
(772)
ERMIT AP LICATION OR: Window/door
Address: 9940 S OCEAN DR 902, JENSEN BEACH, FL 3495
"Aription:
OCEANA OCEANFRONT CONDOMINIUM ONE APT 902 AND .7875 PERCENT INT IN COMMON ELEMENTS (OR 3215-2175)
Property Tax ID #: 4502-502-0089-000-1 Lot N .
Site — Plan Name: Block No
_
a
000
s_Front �ack: ight Side: Left Side:
DETAILED DESCRIPTION OF WORK_ _..
f3�pI e 3 Thd�j�itP3�1 � fn?'�1"t Ph s
ONSTRUCTION INFORMATION:
�6a wor to performedun this pe — sec a ap :• ,
HVAC Il_JI Gas Tank Gas Piping. a Win ows/Doors
_Shutters
❑ umbing� M]Sprinklers : Generator Roof Roof itc
Total Sq. Ft of Construction. S Ft. of First Floor.
4,400 �S�ti-Buildin?H�
Co s _ onstruc i Utilities. ewer ht—
OWNER/LESSEE: CONTRACTOR.:
Name Edward J Schmidt
Name: Janet Milici
Address: 262 Nettles Blvd
Company: Natural Flow, Inc
City: JENSEN BEACH State:FL40
Address: 391 NE Baker Rd
Zip Code: 34957—Fax: __ _
City: Stuarts tate: FLU
Phone No. 772-485-22914&
Zip Code: 349940 — Fax: 772-334-1078
E-Mail: 00 0 0
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 ENGINEER: �_ Not Applicable Ah
Name: 4111111111MOr
MORTGAGE CO 4110lNot Applicablde
Name:
Address:
Address:
City: State:
Zip: Phone •
City: State:
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.
I certify that no work or installation has commen ed prior to the issuance of a permit.
tritin
St" C n ` m e o ep e e th� 1 iltill althlizftheRermit 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 prohbit su
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appl
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 A end ents• -
The follsing buildirtpermitRplications are exemIRfrom undergoing a full congrren1evie-. room additions,
accessory structures, swimming pools, f6ces, walls, signs, screen roo ed accessory uses to anotherdorbesidentfal use
W RNING 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 our Notice of Commencement.
Is • • • • • •-
0Signatur of Own / Lessee/Contractor as Agent for Owner* Signat a of Co ractor/License Holder
STATE O O •,�/• • STATE OF FL98D� •n �� —
COUNTY OF Initx-T� COUNTY OF 1 "1 f�—J
Sworn to or affirmed) and subscribed be ore me o wok�[[ to or affirmed) an subscribedbetore me o
Physical Presence or Online Notarization Y*hysical Presence or Online Notarization
da f 0hi3 —&25 by - Is day f -2ftM by
Name of person makingstatement. Name of person making statement.
•
Per�ro uc cafion Pe 'dffally Kno X OR Pr Ped • c�ti P
Typ_ Type of Identification
Produced Produced is
—Vn.'�A Z41
(Signature of Not ry bli State of Florida) Si nature of Nota lic e o rlda otary Public Stale of Flori
u►�i Public State of Flo -�v� 5� 5�: Donna Jayne Hall
Commission No. � D y1Se� ry ission No. 9"e mmission GG 2075
-donna Jayne Hall ja^ Expires 04/15/202
My Commission GG 207 5
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REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
- COUNTER REVIEW 11OREVIEWO REVIEW SREVIEWO REVIEW REVIEW
DATE • •�• • • • •• • • • ft
R CEIVEP
DATE �
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