HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4WPE I FO MUST BE
rDate:
•
Ia4:114N7ITS7CV_\l»[dr-AIIQ01
ermit IVUmper:
A Idiflog P rr it AppIiAiR
Planning and Development Services
Building and Code Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 0 Commercial X Residential
HERMIT APPLICATION FOR: Window/door Ahl
Address: 10680 S OCEAN DR 304, JENSEN BEACH, FL 34957
7g"a escriptiis
LAND CREST CONDOMINIUM UNIT 304 AND UNDIV SHARE IN COMMON ELEMENTS (OR 1013-590)
Property Tax ID #: 4511-516-0031-000-1 W Lot No._
Site Plan Name Block No.40IMft
nt Back:
RigWide: LeWide:
[DETAILED DESCRIPTION OF WORK:
RepRc#3 do:d 2 sad 1gla do 3 i c �t 14ord 2 ding
doors •• ••
' 011-1 #Pik, Total Sq. Ft of Constructio
=oPof Cons ruc ion: $ 20,440�
G ne erator
Ft. of First Floor:
� s a
�I
QW iMs/D~s
Roof
ng= g:
OWNER/LESSEE:
CONTRACTOR:
Name Maryann Corbett _
Address: 15 Fairway Ln
City: Medway _ State: MA
Zip Code: 02053 Fax:-
Phone No. 508-269-6247
Name: Janet Milici
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd
City: Stuart 0 4W MoState: FL
Zip Code: 34994 0 Fax: 772-334-1078
Phone No. 772-334-1011 go
E-MaiLlanet@naturalflow.net
_
-Mail: Mfcorb52@hotmail.como 0
ilW fee simple Title Holder on next page ( if different
rom the Owner listed above),
State or County License: SCC 131151263
Idvalue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1
DESIGNER/ENGINEER�_f Not Applicable • MORTGAGE COMPANY: -Not Applicabl
Name: Name:
Address: Address:
City: 4aj, City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zi Phone: Zip: Phone:
a
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
cer4y tha o w or�st at has co encg p-at suance olo peali
St. Lucie County ma es no representation that is granting a permit will authorize t e permit ho er to u�restriict
sect structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that mor 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 actor ce��h t approv pia s, a it g Cod# a# St. Luc Co ty nr t
The follog b�Tildinpermitplicion are a em fram und€rgoTng a fullncuenZry 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, •with lender or an attorneybefore commencingwork or recordingour Notice of Commencement. consult
•
Signaturf o� n /Lessee/Cont�r as Agent for Owner•
COUNTY OFOR�m A-nTI' 040
Sworn firmed) and subscribed before me of*
Physical Presence or Online Notarization
this lhdayofby
• j"o 1 1 Lt ZO 21
Name of person making statement.
Personally Known /` OR Produced Identi ication
Type of Identification • _
• .I-I-n a o •
•, 1
Si natu e of Co ractor/License Holder
OF FLO DA
COUNTY OF l�tltil -
Sworn to (or affirmed) ansubscribed before me of
Physical Presence or Online Notarization
this day of Xtan8 by_
J �il.✓��'f ' I'1(� � (t L j 20 2-
Name of person making statement.
ersona y now x OR Produceden i ica ion
Type of Identification •
Produced
(Signature of Not ry9ubli(-)State of Florida) Si nature of Notak/y,��Alicc-- 5tL a4otary Public State of Fk
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ss on GGnna Ja ne Hall om fission o98�Y Expues04l15I202
My Commission G07rW
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EVIEWS • FRONT • G UPERVISOR PLANS• EGETATION SEA TURTLE MANGROVE
COUNTER REVIEW �2EVIEW • REVIEW �tEVIEWM REVIEVAS REVIEVS
DATL• • • • • • • • • •
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DATE - • - _ 0 0 -�-�-
COMPLETED
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