HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALRPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: WPermit Number:
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JBILT11dAg A& APplicatiilft
Planning and Development Services
Building and Code Regulation Divisio rl
2300 Virginia Avenue, Fort Pierce FL 3 982
Phone: (772) 462-1553 Fax: (772) 462-1574 Commercial X !!!!! Residential
ERMIT AP LICATION FO : Window/door
Address: 7380 S OCEAN DR 821, JENSEN BEACH, FL 34957
Dript DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 821
Property Tax ID #: 3522-607-0047-000-6 Lot N
Site Plan Name: Block No—
ee.,kaciWiA Li
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:DETAILED DESCRIPTION OF WORK: '� ,.....__.. .. ... - .. .. ,...
�eplig jei 9 gI d ca p,jct ng gl door
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TI9....
iti wor to e e under this per it — , ec a a 1 -
❑HVACGas Tank •Gas aping S u�i tters a Windows/Doors
❑
— —
�Electri IIM�= Plumbing AlS rinklers • ❑ Generator Roof I0 Roolitchn
Total Sq. Ft of Construction: S�Ft. of First Floor. _
*Sewer
At of Co�tr�ctio $ 7,980 Utilities: SetipDBuilding Height
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OWNER/LESSEE:
CONTRACTOR:
Name Dale F Sco
Name: Janet Milici
Address: 2066 Hermitage DR
Company: Natural Flow, Inch
City: Wellington State: FA
Address: 391 NE Baker Rd.*
City: Stuart State: FL -
4fip Code: 334140 _ Fax — I&
Phone No. 561-460-5881
Zip Code: 349940 Fax: 772-334-1078
E-Mail: Dalefscott1443@gmail.com
Phone No. 772-334-1011
Fill in fee simple 'le Holden next page ( if different
ail: Janet@naturalflow.net
SCC 131151263
from the Owner listed above)
S aafe or County License:
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER• Not A licable
Name:
Address: •
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:• Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
MORT(WE COM Not Applicable•
Name:
Address:
City:State:
Zip: Phone:
BONDING COMPANY: WNot Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicate
I cefy tha no wor*or, n s c m en pri r t is a e ap Lie Co n y rep-re5�nt iothisnti a itilutrize e permit ho er to uild t e su sect 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.
Inconsideration 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 Amend ents.
The following building permit applications are exempt from undergoing a full concurrenprevi#room addition
accessory structures, swimming pools, nces, walls, signs, screen ro apt ac`�sory uses to anoth nresid tia use
RNING TO OWNER: Your fail0e to Record a Notice of :o menc - ent may result in p ymg twic�for
mprovements to your property. A Notice of Commencement must be recorded in the public recor s o 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 your Notice of Commencements I
Signatur of Own / Lessee/Contractor as Agent for Owner
STATE O ORIDA�,�-�J_
COUNTY OF • WA-4-T1 0
Sworn to (or affirmed) and subscribed before me of, _
hAsical Presence or"O�ine Notarizat
this day "of� Ao )auy
Name of person mak statibnt.
Personally Known OR Produced Identification —
Type of Ideca _
Produced
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(Signature of Not Prl7ublliik)st�
Commission o. �1 J D
REVIEWS • FRONT
— COUNTER
DATE
RECEIVED- •
DATE —
COMPLETED
of Florida )
..sY %S�ary Public State of
it Donna Jayne Hall
i : _ e My Commission GG 2
Signat a of Co ractor/License Holder
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STATE OF FLORIDA yy •.`` •
COUNTY OFF
Sworn to (or affirmed) and subscribed before me of
P sical Presence or!_ Online Notariz n
this day of. -I P AVA,
,
• •
J&n,.+
Name of erson making statement.
Personally Known OR Produced Identification
Type of Identification _ —
Produced •
A . 1 •.
•
ure of Nota��lic 7Ttl(
rida4o Public State of
Donna Jayne Hall
slon o.
G SUPERVISOR PLANS VEGETATIOA SEA TURTLE MANGROVF
REVIEW REVIEW 0, EVIEW REVIEW 10 REVIEWO RFVIFWO
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