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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 0� 10�0.� t� �Sery Public State ofFIo 2v ` t�n pmmna ane Hall ss on GGnna Ja ne Hall om fission o98�Y Expues04l15I202 My Commission G07rW aw gnwiSt21122- EVIEWS • FRONT • G UPERVISOR PLANS• EGETATION SEA TURTLE MANGROVE COUNTER REVIEW �2EVIEW • REVIEW �tEVIEWM REVIEVAS REVIEVS DATL• • • • • • • • • • RECEIVED DATE - • - _ 0 0 -�-�- COMPLETED 0