HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AFS7'B AITE90APPRAMOVREPT
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Date: Permit Number:
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136113i e�rmi?AM'Tal"ion%
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Planning and Development Services
Building and Code Regulation Divisiorm
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15780 $Commercial X %esid ti
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4JERMIT APJLICATIONIJOR: Window/doo
Address: 10680 S OCEAN DR 503, Jensen Beach, FL 34957
"Apt ripti
ISLAND CREST CONDOMINIUM UNIT 503 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0050-000-0 Lot N ._
Site Plan Name: lock No. _
*0� �ack: __ Right Side: Left Side:
LDETAILED DESCRIPTION OF WORK:
,1PIR 2 fidinrgla s o r Ith 2 nuicane IjraCT STICIAgMglaSScloors'w
CONSTRUCTION INFORMATION:
Additital wor to e er or un r this per nit — becka ap
aHVAC E] Gas Tank *Gas Piping Shutters a Windows/Do-
_
Ele i ❑ go Sp ink s Generator Roof , Roof itc
#Totall S . Ft of Construction: S Ft. of First Floor. _
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15,290 15 ewer tic Bu�ildini?Hht-
:OWNER/LESSEE: 001111110 11CONTRACTOR:,towmeowoon-
Name Enrique A Cuadra _
Name: Janet Milici
Address: 11621 SW 104th ST
Company: Natural Flow, Inc
City: Miami tate: FLO
Address: 391 NE Baker Rd.
Zip Code: 33176_Fax: ___ _
City: Stuart* *state: F
Phone No. 305-218-8842M
Zip Code: 349949 _ Fax: 772-334-1078
E-Mail: eacuadra@bellsouth.neto 0 0 40
Phone No. 772-334-1011
Fill in fee simple Title Holden next page ( if different 0
E-Mail: Janet@naturalflow.net� a♦
State or County License. SCC 131151263
from the Owner listed above)
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: S
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City: Stat
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable*
BONDING COMPANY: Not Applicable
Name:
Name: •
Address:
Address:
City: •
City:
Zip: Phone:
ZPhone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cer y thao wior j�stilat as cortenc p ssuano off per}�i
St. Lucie County ma es no represen ation that is granting a permit will authorize t e permit ho �toi d the suject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsay 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 thew k
g Cod at St. Lucie jougt*6d�en
in accor ce w/h tjWppro d pl s, e a it®r,
The folio ng bui ding permit pplic io s are a emt fun ergoing a full concurrency review: room a ditions, _
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 attorney before commencing work or recording your Notice of Commencement.
�011 IMI, •• ••••• ••
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Signatur of Own / Lessee/Contractor as Agent for Owner- Signatu e of Co ractor/License Holder
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STATE ORV ' II OF FLO
COUNTY OF In%F--TI N COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
P ysical Presence or Online Notarization • Physical Presence or Online Notarization
this day of UAL T CI�L•�� by this day of j7 rq 15& b�
letma YA'kilt t &Ae
Name of person making statement. Name of person making statement.
Personally Known R Produced Identification ersona y now %� ocluced Identi ica ion
Type of Identification - • • Type of Identification -
ProAduced Produced
�s •
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(Signature of Not ry bli )State of Floridaclae o rida otary Public state of Flori
a
h/ 0L_ / Public State of FloIiisPinjo. ZvDonna Jayne Hall
COm I,SIOn 0D $ery . (¢mmission GG 2075
UOnna Jayne Halla^Expues missio G
• y Commission GG 207 5
esD4!_t 5/1022 --
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEWS
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SUPERVISOR
OREVIEWO REVIEW
OREVIEWM
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Rev. 5/6/20
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