HomeMy WebLinkAboutBuilding Permit Application - Foca ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
� ZI*Z Permit Number:
•
- IJ
lftilditg PPrAit Applicatid%
anning and Development Services • •
Building and Code Regulation Divisio
2300 Virginia Avenue, Fort Pierce FL 3 82 •
Phone: (772)462-1553 Fax: (772)462-15781 commercial X Residential
PERMIT APPLICATION FOR: Window/door
Address: 10600 S Ocean DR Apt 104 Jensen Beach, FL 34957
Legal Description:
OCEANA SOUTH CONDOMINIUM II UNIT104 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-517-0011-000-8 Lot N
Site Plan Name: Block No.
Project Name —
e 7-7 Front _ Back: _ ig
L�T�ILED DESCRIPTION OF WORK:
Replace 3 windows and 2 sliding glass doors with 3 hurricane irnDact ind s a d 2 g gIt
doors
Additionalworkto e e ormed un er this permit—c ec a a�
• :CO
3 G•Tank nas �iping _Shutters inflows/D•rs
Electric ❑ Plumbing AS rinklers Generator Roof Roof pitc
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 18,97 Lltilities:�Sewer ASe tic�Building Hei ht:—
WNER/LESSEE: CONTRACTOR:
Name Keith C Foca Cheryl A Foca• Name: Janet Milici
Address: 10600 S Ocean DR Apt 104 Company: Natural Flow, Inch
City: Jensen Beach State:FL Address: 391 NE Baker Rd.
Zip ode, 34957 Fax: • C Stuart State:FL •No.407-928-9109 Zip de: 34994 ax: 772-334-1078
#Otak:keith.foca@gmail.com n-No 772-334-1011
Film fW s p T' H page ( fit • ; Janet@naturalflow.net
om he w er i a ove a e Co • SCC 131151263
�� • • • �
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required
DESIGNER/ENGINEER Not Applicable 49 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not A livable BONDING COMPANY: Not A livable
Name: Nam
Addr ss: Address:
City. City.MlIl
Zip: Phone: Zip: 40ne:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
46 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 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
IlO'accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
he following building permit applications are exempt from undergoing a full concurrency review:room a it ons, •
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use,
ARNING 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, c�
with lender or an attorney before commencing work or recording your Notice of Commencement.
sseC ontractorasAgentfo Owner
Signatu of / • Signat e of Co ractor/Lic•ens•e Holder
O�O SATEOF STE O D� COUNT OF OF MEI
0
Sworn to or affirmed) ind sir ri e e ore me o worn to or a rrme an subscribedbe Tore me 714
�L Phys cal Presence or Online Notarization Physical Presence or Online Notarization
PA
-t- liiiii�GLN
this - ay of, t=&SYday of 40C �by
Mir��G��le.� Ifs►�►� � •• •• � �J I'V�1 �'t
Name of person making statement. Name of person ma g statement. • •
Persona y no O O rodlRed Identifi�tion Personally Known /` OR Produced Identification —
Type of Identification Type of Id tification •
Produced Produced*
(signature of Not ry bli -State of Florida ) Sin re oigta lic- o nda y P� S�je of FI a
'��`��7 PUNK State o F �ZU 15�5 � Donna Jayne Hall
Commission No. �-+/ 1 �� S o ission No. :(940), rsaron GG 207515
nna Jayne Hal • « Expires 04115/2022
My Commission GG 207585
EAE WS FRONT G UPERVIS PLAN trGETATIO SPTItTRD ' O
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW • REVIEW
DATE •
RECEIVED • __
DATE
COMPLETED -�-_ • i_-� -�
ev.
•