HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONerm
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Planning and Development Services
Building and Code Regulation Divisional
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15780 Corti ercial X
ERMIT AP&LICATION JOR*Window/doo
ROPOSED IMPROVEMENT LOCATION:
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Address: 10680 S OCEAN DR 704, JESEN BEACH, FL 34957
egL al -Description: ISLAND CREST CONDOMINIUM UNIT 704 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0071-000-3
Plan Name:
'Lot Now
Block No.
Setbacks 4ront. Back: .Right Side: Left Side: ,
DETAILED DESCRIPTION OF WORK:
Replace 2 s I Ith 2 AdiR"WiclM s V'
I CONSTRUCTION INFORMATION:
Additional work to be pertormect under tnis permit — cnecK all inai apply:
HVAC 1:1Gaffs Tank Gaffs Piping Shutters lzlWindows/Doors
ec nc ❑_ Plu bl% �SpP e * ❑ G T � R�f Roof itc
Total Sq. Ft of Construction: S . R. of First Floor. —
ost of Cons u ion 15,290 I S r Peat uull ?He ht:
OWNER/LESSEE: .' ,,.. .4
CON TRACTOR::,,awmm"»,
Name Kevin McDowell
Address:43 Heritage DR
Name: Janet Milici
Company: Natural Flow, Inc
Address: 391 NE Baker Rd.
City: Stuart tate: F _
Zip Code: 34994— Fax: 772-334-1078
Phone No. 772-334-1011 .
City: Englishtown _ State: NJ*
Zip Code: 07726—Fax:
Phone No. 917-215-8020
E-Mail: ksmmcd@aol.com
_
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above) ..
E-Mail: Janet@naturalflow.net 0
State or County License: SCC 131151263
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: _
Name
Address:
Addr:
'
City: State:
City. State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not A licable
BONDING COMPANY: Not Applicable
Name.
Name.
Addr
All
City:a
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to d k and tallation as indicate
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 twice for*
paying
improvements to your property. A Notice of Commencement must be recorded in the public recordsgf S
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 our Notice of Commencement.
signatur of own / Lessee/Contractor as Agent for Owner ,Signatu actor /�Lice�ns�e Holder
O STATE OF FL
STATE WIDA
WA-TIel •
COUNTY OF4 COUNTY OF
S to or affirmed) an subscribedbefore me o ,ile-n to (• ffirry aril U criPdfefo f,
Physical Pr sense or Online Notarization Physical Presence or Online Notarization
is n` day of -R,eZII' bye this 'P' day of115t;T ?e2 by
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Name of person making statement. Name of person ma g statement.
Personally mown � O Pro aced Id•tific4 ion • Personally Known OR Produced Identification �'
Type of Identification � Type of Iden4cati
Produced Produced .
(Signature of Not ry ubli - State of Florida) Si nature of Nota lic- e o ' a otary Public State of Flon a
5 0 r.fS ry Public State of Flo �V (5 v 5 Donna Jayne Hall
Commission No. AAA �y�a m fission No. _ �pmmission GG 2075
Hall , '
+>? Wnna Jayne pyres o4n 5�2ozz
My Commission GG 2075450
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REVIEWS FRONT G SUPERVISOR PLANS VEGETATIOIP SEA TURTL MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEV&� OREVIEWW *REVIEWi,
DATFO
RECE E
DATE
COMPLETED
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