HomeMy WebLinkAboutBUILDING PERMIT APPLICATION = ILA
i==01PR i ED FLIK APPLICATTUN70 BE ALLLV I LU
Date: Permit Number:
•
IfflidinTARN�lication
Panning and Development Services
Building and Code Regulation Division_
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-15789 Commercial X 2sidential
ERMIT Af4LICATION 6OR*Window/door
D IMPROVEMENT LgWION:
Address: 9900 S OCEAN DR 806, JENSEN BEACH, FL 3495
egL�D—escripti•: - ,
OCEANA OCEANFRONT CONDOMINIUM II-UNIT 806 AND UND SHARE IN COMMON ELEMENTS(OR 3476-1592;3593-227;3791-1757;3795-1948)
Property Tax ID#: 4502-503-0080-000-1 Lot No.
Site Plan Name: Block No.
0et
R Na- —
c so4ront Back: _Right Side: Left Side: •
VEIAILED DESCRIPTION OF WORK:
RAPIR 2 slidi rgla Ith 2 f i cAidiRRdo s
CONSTRUCTION INFORMATION:
Additional work to be performed under this per ec a apply:
WHVAC Gas Tank4 In • • -
1*Gas Piping _Shutters Q Windows/Doors
ETe tFc� ❑ bing ❑ enerator Roof Roof itch
Total Sq. Ft of Construction: S . Ft.of First Flooi:
O n 15,350Costo _S- _Se tic Bull I eT
W N ER/LESSEE: 4111-1.1 CONTRACTOR:
Name Chris Johansen Name: Janet Mili
Address:9900 S OCEAN DR 806 Company: Natural Flow, Inc.4111111111111111
City: JENSEN BEACH State:FL40 Address: 391 NE Baker Rd.
Zip Code: 34957_Fax: City: Stuart State: FLU
Phone No.631-838-21664a Zip Code: 349940 — Fax: 772-334-10780
E-Mail:psychicnthegenie@yahoo.com Phone No. 772-334-1011
Fill in fee simple Title Holder on next page(if different E-Mail: Janet@naturalflow.net
from the Owner listed above) State or County License: SCC 131151263
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. '
DESIGNER/ENGINEER Not Applicable MORTGAGE COMPANY: _ Not Applicabl
Name: Name:
Address: Address:
City: tat City: Stat
Zip: Phone -� 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.
cery tho sts combencri p4to"suance of a per}�it
St. Lucie County ma es no represen ation that is granting a permit will authorize t e permit ho er to ul t e sir 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,p rf rPlonse
in accor a ap6 pi s, a BuilcI j Cod�anc�t. Lucie Cou�y ents
The following bui Ing permit applica ions are exempt from undergoing a full concurrency review:room a
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 attorneybefore commencing work or recording our Notice of Commencement.
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Si t�idtur o�n Lessee/Contractor as A ent for Owner Si natu e of Co ractor/Lic�Holder
PRE OF
COTE O ORIDA m TY OF COUNTY OFORIDA —
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or!_On a Notariza n Physical Pre ence or Online Notarization
this day of by this�day of ' � �� by
Name person makingjstatoemernti�. Name of person making statement.
Personally Known Couced Identification Personal y Know X OR Produced enti ication
Type of Identification_ • Type of Identification -
Produced • � • Produced �I•
"t 1
(Signature of Not ry bli -State of Florida ) Si nature of Nota lic- e o rida otary PublicState of Flon a
h/�( ��r eta Public State of Flo 20 5�(5 �. Donna Jayne Hall
Commission O. �✓ V 515c_a.r-ry O ISSIOn O. v v �(�t>��mission GG 2075
_ nna Jayne Hall y°'^d Expires 0411 5/2 0 2
My Commission GG 207555
0 FRONT • w G UPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW EVIEWO REVIEW OREVIEWM REVIEW • REVIEW
DAT •E • 411111
RECEIVED • j09 • • • _
DAT — — • —�—�—�
COM ETED I I _
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