HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J:
COUNTY
F I. 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: 10680 S Ocean DR Apt 1205 Jensen Beach, FL 34957
Legal Description: ISLAND CREST CONDOMINIUM UNIT 1205 AND UNDIV SHARE IN COMMON ELEMENTS (OR 1590-1147:2935-2113)
Property Tax ID #: 4511-516-0122-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 2 sliding glass doors with 2 hurricane impact sliding glass doors
CONSTRUCTION INFORMATION:
Additional
T1HVAC
work to b
_Gas
&formed under
Tank
this permit - check all
Gas Piping
hat apply:
Shutters / Windows/Doors
III Electric F_i Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S. Ft. of First Floor:
Cost of Construction: $ 15,290 Utilities Sewer fl Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard J Guercia Name: Janet Milici
Address: 10680 S Ocean DR Apt 1205 Company: Natural Flow, Inc.
City: Jensen Beach State: FL Address: 391 NE Baker Rd.
Zip Code: 34957 Fax: City: Stuart State: FL
Phone No. 516-807-3415 Zip Code: 399 Fax: 772-334-1078
E-Mail: Rl0HGUERC@GM'C0M 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.
DESIGNER/ENGINEER: - Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY:
Name:
Address:
City: State:
Zip: Phone:
Not Applicable
Phone:
Not Applicable Not Applicable FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:
BONDING COMPANY:
Name:
Address:
City:
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 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.
Sign4ture of Ojiner/ Lessee/Contractor as Agent for Owner Sigrture of C ntractor/License Holder
STATE OF FLORIDA
COUNTY OF MA1fl Li
Sworn to (or affirmed) and subscribed before me of
>< Phsical Presence or Online Notarization
this/ day of /JOtIYiZ , by
202I
STATE OF FLORIDA
COUNTY OF Yfl
Sworn to (or affirmed) and subscribed before me of
)( Physical Presence or Online Notarization
this/8"day of NO 7'7tt. ,0111111111by
Z621
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
fkw
Signature of M,otry PbIic- State of Florida
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
tLU
(Si -nature of N lic- State of Florida P
Commission No. ,O'75 a Jayne Hall Co Public State of Flonoa
My Commission GG 20758
.EpiS 04115/2022
mission No.O '7 5 Public State of Florida
iiir(t Donna Jayne Hall
1 My r'omm,scIon GG 20758
Expi es 04/15/2022
REVIEWS FRONT
COUNTER
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
(ev. 5/6720