HomeMy WebLinkAboutBUILDING PERMIT APPLICATION Beck•
Dat •
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Permit Number.
�d'*u i�di�Permi A�ica ior�
Planning and Development Services W
Building and Code Regulation Division4ft
2300 Virginia Avenue, Fort Pierce FL 34982
I one: (772)A62-1553 Fax: (772)2-11J •C CII A aL
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PERMIT APPLICATION FORigWindow/doo
0680 S OCEAN DR 105, JENSEN BEACH, FL 34957
Legal Description:
ISLAND CREST CONDOMINIUM UNIT 105 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0012-000-2 Lot No—
e anf—Iaa e�"' Ozo
.
,project ame:
backs Front —Bac ight Side:— Left Side: ___
DETAILED DESCRIPTION OF WORK:
eplace z suaing glass
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CONSTRUCTION INFORMATION:
Additionalworkto e er ormed under
14HVAC _ Gas Tank
0Eecot ric 0 um I ing
F of Construction: _
Cos*IqC
onstruction: 15,290
nurrlcane Impact sllaing glass aoors
tnis permit — cnecK aii apply: • • -
AGas Piping _Shutters Q Windows/Doors
�Spri—'nflers Genera o of, �fch
S . Ft. of First Floor:
Uti ities: —Sewer Septi uil 'ng igh
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OWNER/LESSEE:
CONTRACTOR:
Name KEN BECK
Name: Janet Milia
Address: 7918 Rinehart DR
Company: Natural Flow, Inc.
City: Boynton Beach State: FL
Zip Code: 33437 Fax:
561-512-8645
Phone No. _
Address: 391 NE Baker Rd.
City: Stuart State: FLU
Zip Code: 34994 —Fax: 772-334-1078—
Phone No. 772-334-101
E-Mail: kensbv@gmail.co
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Fill in fee simple Title Holder on next page ( if different
from the Owner listed above) '
E-Mail: Janet@naturalflow.net
State or County License: SCC 131151263
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNE
Name:_
Address:
City:
Zip:
Phone
Not Applica
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name. • •
Address:
City:•
Zip: Phone:
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MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: Sta _
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:— •
Address:
city:•
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as i ica e
�ertify 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 structur
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
ructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordance *hoe approv plans, thewOuilding Codes aAg
St. Luci4ountyjndierij.e following b rldi g permit aTplications a ert from undergoa full concurrency review: room additions
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothe(gon-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 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 Commencement.
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Signatur of Own / Lessee Contractor as Agent for Owner
o O D� ••�
COUNTY OF MO —TA
Sworn to or affirmed) and SUbCnbecl betore me o
�L P ysical Presence or nline Notarization
this day of b
I's CA
Name of person making statement.
PeTsofSIlly Inoo n OR Produced Identification
Type of Identification
Produced
Signatute of Co ractor/License Holde
\1-1
STATE OF FL.JD:
COUNTY OF
rn to (or affirft)Pnd• b riRd11fof m*f.
Physical Presence or Online Notarization
this((=day of h' 1j a0;a,by
• �Jc� �1��-�•, �;
Name of person6ak g statement.
Personally Known )M OR Produced Identification _—
Type of Ide tification
Produced •
1��— I M� • t � n• �r A n•
(Signature of Notes ry"bli�State of Florida )
C• missi . 0 J�
1 � $rY Pva'c State of F
Donna Jayne Hall
• . My Commission GG 5
OP V1-
REVIEWS FRONT ZUM G UPERVISO
• COUNTER REVIEW • REVIEW
DATE
RECEIVED
DATE • — : •
COMPLETED
ev. 5/6/20
si nature of Notaku. Iic- 5t rida4� P'a.state'F1Donna Jayne Hal
oission No. �v `��(9beR{xrn^�ss'o^GG7
• �p« Expues 04115/202?
)LAN M
VEGETATIO • EATURTL ANGROVEOI
EVIEW� REVIEW WREVIEW� •REVIEW•