HomeMy WebLinkAboutBuilding Permit Application - Moore *ALPAPPLICABLE INFO MUST BE COMPLETED FOR'APPICATIOPO'BE4CEP
Date: Permit Number:
• Bt�`iildirl Pfit it AR1111tion
rianning and Development Services • •
lding and Code Regulation Division
00 Virginia Avenue, Fort Pierce FL 34982hone: (772)462-1553 Fax: (772)462-1578 commercial X Residential
ERMIT APJLICATIONinD: Window/door
PROPOSED IMPROVEMENT LOCATION'
Address: 3100 N HIGHWAY A1A 1102, JENSEN BEACH, FL 349574111111111111111111111111111111111
:engal DI Criptio SANDS ON THE OCEAN-SECTION 1- UNIT 1102
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ill
Property Tax ID#: 1425-606-0048-000-6 Lot No.
Site Plan Name. Block No—
e1Oac AMR
et4ide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 3 fiindows d 3 li ing gl 0d 90 �fii 3�1�'R Aact :Jdnd 3:ic7,w'l
ct�
sliding glass doors
•
CONSTRUCTION INFWMATION
itionna woi to e er Qrrj
m un r this pei mit—check a a I -
�HVAC Gas�Tank Gas Piping Shutters a Windows/Doors L1 o� — —
Electric ❑ Plumbing* FOIS rinklers 00
• ❑Generator Roof , Roof pitC
Total Sq. Ft of Construction:rTfc S�Ft. of First Floor._
Cost of Consttion: $ 31,720 Utilities: L_J S�w� Se ti-B!Rdinf -ht—
OWNER/LESSEE: CONTRACTOR: - --- -
Name Barbara Armada Arda Name: Janet Milici
Address: 16247 Erie PLO Company: Natural Flow, Inc
City: Davie State:FL Address: 391 NE Baker Rd. —
Zip Code: 33331 •Fax: City: Stuart State: FL
*Uail
one No.786-423-8674 Zipod • 34994 Fax: 772-334-1078
:barbiearmada2019@gmail.com p o 0 772-334-1011
i leTitl on�p age (if d' • : janet@naturalflow.net
a oij) . • • a e Co to
ty Lic SCC 131151263
' value of cc#ruction is$2 0 or e,ajiECORDED N=jce of Commencement is ramiirad.
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DESIGNER/EjGlWEER! •Njt jp ca6 • MORTGAGE COMPANY Not Appli cable
•
Name: Name:
Address: Address:
City: City: State
Zi Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: •_Not Applicable
Name: • • Name:
Address: Address:
Cit 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 commenced p�r toe issuance of a per 19 �t.�
St. Lucie County makes no representation that is granting a permit will authorize the permit ho er to uil t e subject 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
in accornce with t approv plans,tida Build Codes and St. Lucie County�s.
The following buildin permit a plication xempt fr undergoing a full concurren ie :room additions,
accessory structures, swimming pools,fences,walls,signs,screen roo&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 financin consult
with lender or an attorney before commencing work or recording our Notice of Commencement
• • • • •
• •
Signatur of Own /Lessee/Contractor as Agent for Owner• Signat a of Co ractor/License Holder •
STATE O O ID _A �- STATE OF FLO -per `
COUNTY OF 6fil � COUNTY OF 40 i /T�-J N•
S-n to(•affiVid su scri d bef0e mctjrIIIIIIIIIIIIIIIIIIIIII�l Sworn to(or affirmed)and subscribed before me o
Physical Presence on Online Notarization X Physical Presence or!_Online Notarization '
�a f `ugh o by this `��dayofJ � kZ—,- �p�by
J _-yam
ISM
Name of person making statement. f erson making statement
Personally Known•_OR Produced Identification Personally Know OR Produced Identification• _
Type of Id�tificaY Type of Identification— • —
Produced _ Produced •
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Si nature of Not ry bli --)State of Florida ) Si nature of Nota lice o nda �puahc State of R a
1 5 D �p4S Puaw staee of F ZU�s D 5 Donna Jayne Hall
Commission No. eQry o scion No. ( j)xnmmvon GG 207585
Donna Jayne Hallam Expaes Oars 5r2o2
My Commission GG 207 5 •
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FRONT G SUPERVISOR PLAN eEGETATION SEATURTLE MANGROVE
COUNTER REVIEW *REVIEW• REVIEW •REVIEW- REVIEVA REVIFV*
DAT� • • • •�• • • • ' � • •
RECEIVED + — ----� +- — —
DATE • • —_
COMPLETED
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