HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL n PP c r �- nnAM I� R
Date:
Permit Number:
J
•
UUMWAY r�ir i n PA 111
Planning and Development Services
Building and Code Regulation Division_
2300 Virginia Avenue, Fort Pierce FL 34982 •
X @Residential
Phone: (772) 462-1553 Fax: (772) 462-15780 CO
ercial
4JERMIT AP46LICATION j0R6 Window/d00
Address: 10680 S OCEAN DR 302, JENSEN BEACH, FL 34957
egLgaa Description:
ISLAND CREST CONDOMINIUM UNIT 302 AND UNDIV SHARE IN COMMON ELEMENTS (OR 519-2107: 1316-2929
Propert Tax ID #: 4511-516-0029-000-4
Lot N .
Site PlaiNte-0
ro,7cam eft,;
dk6lock No.
"'llM0111
Setbacks Front Back: Right Side:
Left Side:
ETAILED DESCRIPTION OF WORK:
RMW1k2 s cloors wlth�
ONSTRUCTION INF -
iti6a wor to e er ormeun t is checka
4 AM
�HVAC Gas Tank Gas Piping
apply:
0 • •
Shutters Q Windows/Doors
_
mElectric ❑ I rib Sp
G T f M1A01A oof itc
Total Sq. Ft of Construction: S Ft. of First Floor.
Coto Cons u 15,290 I i• S wer P i� h
4
WNER/LESSEE:
CONTRACTOR:,,3r3ti.afw:
Name warren Stein Shirley Stein
Name: Janet Milici
Address: 25 Ridgeview Ln
Company: Natural Flow, Inc
Address: 391 NE Baker Rd.
_ -
City: Warren Stein Shirley Stein 25 Ridgeview Ln Mount Arlington. NJ 07856 State: NJ*
Zip Code: 07854111=Wax:
City: Stuart ;tate: FLss
Phone No. 201-704-12610
Zip Code: 349940 - Fax: 772-334-1078ft
E-Mail: warshirl@optonline.com
Phone No. 772-334-1011 _
Fill in fee simple Title Holder on next page ( if different
E-Mail: Janet@naturalflow.nete
State or County License: SCC 131151263
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. '
1
DESIGNER/EJGI EER•
Not Applicable MORTGAGE COMPANY! Not Applicable
Name:
____ Name:
Address:
Address:
City:
Zip: Phone
State: City: State
mow—* zip:* —Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: •
City:
Zip: Phone:
Zip: Phone:
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 comncpr tosuance of a pert.
St. Lucie County makes no representation that is granting a permit will authorize the permit ho er to ui 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.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work 011,
in accor nce with to approv� plans, the Florida Building Codes and St. Lucie County*revie
endmnts.
The folio ,ng buildi permit plications are exempt from undergoing a full concurren room additions,
accessory structures, swimming pools nces, walls, signs, screen roo� accessory uses to anoth non-resid tia usr
IIVARNING TO OWNER: Your failure to Record a Notice of Commencement may result in eying twic�for
/ improvements to your property. A Notice of Commencement must be recorded in the public recor s o St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
1 with lender or an attorney before commencing work or recording your Notice of Commencements,
Signatur of Own / Lessee/Contractor as Agent for Owner •
STATE O ORID� A-��' -
COUNTY OF I� mJ�-
Sw3rn to (or affi4r d)�nd�u crfbed before me of�
Physical Presence or, Online Notarization
tl1is/� dayyof U Oby
� ��� P I(Y1, ►1 � u
Name of person making statement.
Personally Known* OR Produced Identification _
Type Id ic�
Produced
Si nature of Not ftj7ubllii(-)St
Commission No. �1 J D
ALIFRONT •
COUNTER
DATE!
RECEIVED
DATE -
COMPLETED
Signat a of Co ractor/License Holder •
STATE OF FLORIDA
COUNTY OF M� •
Sworn to (or affirmed) and subscribed before me of
Physical Presence o Online Notariz ion
this 1301 day of 3 by
Name of person -making statement
Personally KnownWl�- OR Produced Identification _
Type of Identification_ -
Produced •A •
ature of NotakKP11@lic $t o rida4 my Pua�c State of
ZU7 S� Donna Jayne Hall
nission No. 0 +1 �(9k4)--_ t&'onGG 2
*j« Expires 04115/202
is �r My Commiss�on GG 207 5 • • -
O_rX roe. -- -- -. ! ----
G UPERVISOR PLANS•I VEGETATION I SEATURTLE MANGROVE
REVIEVO EVIEW REVIEW «REVIEW _ REVIEVA* REVIEV*
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ey
Sew"ry Pubhc State of
Donna Jayne Hall