HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONPLI
Date
'F L O R 1 D A-"'a�
ermit Num er.
Planning and Development Services
Building and Code Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential*
PERMIT AFXLICATION FOR: Window/door,.
dress: 9650 S OCEAN DR 409, Jensen Beach, FL 3495
THE PRINCESS OF HUTCHINSON ISLAND UNIT 409
Property Tax ID #: 4502-610-0039-000-8 Lot No
•Site Plan Name: Block No.
'Protec Na- _
.Seac' t_aSid
DETAILED DESCRIPTION OF WORK: SOON'"
Repl1C,r�do�c��t �r�do
"-
Addltio*C'
ork to be er under this pcK I p� •
�H L Gas Tan Gas Pipingutters� Q in ows/Doors
ElectricP umbing �SprinkI If nerator R of Roof itch
%otal Sq. Ft of Construction: �S Ft. of First Floor:
CorfCons ruc ion: 1,700 Utilitie' _SevZer�S�tic BuildiRHeight:_
OWNER/LESSEE:
CONTRACTOR:
Name Malcolm J Curtis Suzanne S Curti
Name: Janet Milici
Address: 29 Hunter R
Company: Natural Flow, Inc.
City: North Haledon State: NJ 40
Address: 391 NE Baker Rd
Zip Code: 07508 — Fax
City: Stuart State: FL 4111111111111110
Phone No. 201-398-3816 0
Zip Code: 34994 Fax: 772-334-1078
one No. 772-334-1011
E-Mail: mjcurtis70@gmail.com
FiWn fee syys�ple Title Hold�on next page ( if different
from the Owner listed above)
fjoaL Janet@naturalflow.net
State or County License: SCC 131151263
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name* • •
Addr* Address:
City: _ State: City:• State:
Zip: Phone Zip: Phone:
FEE SI _ Not AiDolicable BONDING Y:
Name. Name:
Addr� Addr&
City: City:
Zip: one: Zip: hone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
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 structurte
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 paying twice for 0
3 Improvements to your property. A Notice of Commencement must be recorded in the public records of S
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consul
with lender or an attornev before commencing work or recording vour Notice of Commencement.
• •
Si natur of
e/Con ractor as A ent for Owner •
STATE O
OUP NTY�F In TI �• • •
Sworn to (or affirmed) affirmed) and subscribed before me of
-_Y- Physical Presence or ggLine Notanz tion ,
this day of i� ;�,o)aby� •
Name of erson making statement
Personally Known OR Produced Identification
Type of Identification —
Produced
(Signature of Not ryjubli - State of Florida )
-WJ 59 (S Public State of FL
om ssio o. T "Ddn a Jayne Hall
e My Commission GG 207
REVIEWS- FRONT
COUNTER
DATE •
RECEIVE' _
DATE
COMPLETEiO 0 —
of Co4ractor/License Hold
ATE OF FLORIDANA f ` —
11 MTV nc N
Sworn to (or affirmed) and subscribed before me of •
Physical Presence or Online Notarization
this 441" day of \Pn NL — aD�3.by
It &A �f"� � � � � L►
Name of person making statement.
Persona y Known Xmwroducedldentitca ion
Type of Identification -
Produced
• �Mli
re of Notak�lic- 5tTV#Z�,dv
o rid otary Pubhe State of FI
I,� `�j C, _ Donna Jayne Hall
ion o. V J D J+� ( 1pmmission GG 207
_ Exgres OV15/2022 -
( G SUPERVISOR PLANS VEGETATION SEA TURTLF MANGROVE I
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