HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CO , J TED FOR AP & ICATIONTO BE AC EJJED•
Date: *Permit Number:
%BullMnPMM licatior�
Planning and Development Services*
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
one: (772) 462-1553 Fax: (772) 462-1578UCOj=Cial X %RSiAjIial —
PERMIT APPLICATION FOR,Window/door
Address- 10680 S OCEAN DR 604, JENSEN BEACH, FL 34957
Legal Description:
ISLAND CREST CONDOMINIUM UNIT 604 AND UNDIV SHARE IN COMMON ELEMENTS (OR 2642-1222;1224: 2684-565; 3930-1281)
Property Tax ID #: 4511-516-0061-000-0 Lot No—
roiect ame:
Setbacks Front— Back: —Right Side— Left Side.
FETAILED DESCRIPTION OF WORK:
Replace 2 sliding glass doors with urricane impact sliding glass doors
WSTRUCTION INFORM
Additional work to e er orme under this permit — check a apply: • • •
�HVAC • Gas Tank Gas Piping _ Shutters Windows/Doors
e!Mr c ❑ um mg ❑ prrn ers , Genera or �f.� itch
Total S . Ft of Construct: • S . Ft. of First Floor
os o ons ruc io . 15,290 i ies:�Sew_ept� i Building ig
,pWNER/LESSEE:
CONTRACTOR:
Name: Janet Milici
Company: Natural Flow, Inc.
Name James E Pownell
_
Address: 7 Coachman LN 0
City: Natick State: MA
Zip Code: 01760 • • Fax:
Phone No. 774-571-0011 _
E-Mail:
Address: 391 NE Baker Rd.
City: Stuart• State: FLU
Zip Code: 34994—_ Fax: 772-334-1078_
Phone No. 772-334-1011
_
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above) • _
E-Mail: Janet@naturalflow.net
State or County License: SCC 131151263
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/E E �t A- I'C • MORTGAGE COMPANY: -Not Applicabld
Name: Name:
Address: Address:
City: State: City: S
Zip: Phone IM111 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 c that no work or installation has c mme�nced prior to t� issuan of p •
St. Cli�Te County makes no representation than is granting a pe''r4Tft will aZfth#ize0eermit h der 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 suc
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 accor nce ith t� approv� pla s, t"Flor'a B#ild g Codes a d S Luc Cou ty�ts
The folio ing ildi permit plic iom f m undergO g�full ncu en vi 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.
• • •
•
Signatur of Own / Lessee/contractor as Agent for Owner•
ST
•• ••
COUNTY OFOR
Sworn to or affirmed) and su scri e e ore me c
Physical Presence or Online Notarizati
o�_aon
this a f 'DFLan6 �0by •
• 21
all CA
Name of person making statement. •
Persona y Knowi I/`� /ro uce en i ica ion
Type of Identification • -
Produced
• J71A0 • olu
(Signature of Notdry 5ubl
iOState of Florida )
Commission No. �p4qSe ry Public State of Flc
nna Jayne Hall
My Commission GG 207f
REVIEWS FRONT ZCMPTCiI SUPERVISOR
— COUNTER REVIEW �OREVIEW •
DATE
RECEI%D- • • • • •
DATE — _ • . 0 • _
COMPLETED
• •'. c •i•• /I �Mll
Signatu e of Co ractor/License Holder
STATE OF FL • •
COUNTY OF 1 «�
Sworn to or a irme an su scri e e ore me o
Physical Presence or Online Notarization
is/,R_!tlay f CP, TbAM
Name of person making statement.
ersona y now X O uce i ica ion
Type of Identification - Oo•
Produced
1=111 .lk�, , �t a •-4-i-i�P ���
ature of Notah�Iic- si o f nda4otary Public State of FI
nis ne Hall
P ZU75$5 �1 (�apmI Expires �u� z
PLANS VEGETATION I SEA TURTLE I MANGROVE
REVIEW foREVIEW- REVIEW REVIEW
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