HomeMy WebLinkAboutBuilding Permit App - BednarcikI TBfORT �t l�
Date: Permit Number.
Planning and Development Services MIDildinl Aei1Aictiorti
Building and Code Regulation Division_
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-157810 CO mercial X IV sidential
PERMIT APJ[ICATION FOReWindow/door
Address: 9900 S Ocean DR Apt 1104 Jensen Beach, FL 3495
egL arDescription:
OCEANA OCEANFRONT CONDOMINIUM II- UNIT 1104 AND UND SHARE IN COMMON ELEMENTS (OR 441-529)
Property Tax ID #: 4502-503-0108-000-4 Lot No—
SIPPIan Ae:* BlPk No.
�
ote am �
seont Back: Right Side: Left Side
PETAILED DESCRIPTION OF WORK:
Re ace Aiding glass cloo I h 2 h ct
VONSTRUCTION INFORMATION:
Additional work to be nertormedunder tis %rrryt — c ec a — app y: • •
AHVAC L�J Gas Tank •❑ Gas Piping In Shutters .I V I Windows/Doors
Electric • ❑� �� r , El= _�� R of Roof itch
Total Sq. Ft of Construction: S Ft. of First Floor:
Co f Co s ruc ion: 15,290 '�•_ Sewer Re,'
WNER/LESSEE:
CONTRACTOR:
Name Robert F Bednarci
Name: Janet Milic
Company: Natural Flow, Inc.
Address: 9900 S Ocean DR Apt 1104
Address: 391 NE Baker Rd.
City: Jensen Beach State: F '
City: Stuart State: FLAW
Zip Code: 34994 Fax: 772-334-10780
Zip Code: 34957 �ax: -
Phone No.203-518-25690
E-Mail: robe rtbednarcik@netscape.neljjjjIIIIIIIIIIIIIIIIIIIIIIII� 40 40
Phone No. 772-334-1011
Fill in fee simple Title Holder on next page ( if different
E-Mail: Janet@naturalflow.net
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. ,
DESIGNER ENGINEER Not A licable MORTGAGE CCIIAJANY� Not Applicable•
Name: _ Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ONot Applicable BONDING COMPANY: • Not Applicable
Name: Name:
Address: Address:
City: City:
Zi : Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
cer th��o**!,,to pri r ua�e a p
t. Lu Co my no representation 0", granting a perm) will aut rize e permit ho er to uild 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
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrenprevielproom addition
accessorystructures, swimmingpools nces, walls, signs, screen rot a�1 ac o es to an n�resid�tla use
RNING TO OWNER: Your faile to Record a Notice of CmencenTent result inymg twice for
mprovements to your property. A Notice of Commencement must be recorded in the public records o)St.
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• d
Signatur of Own / Lessee/Contractor as Agent for Owner
STATE O ORIDA� _
COUNTY OFI� In}1�TI j.I
Sworn to (or affirmed) and subscribed before me of • _
Physical Presence or�_ Ogne Notarizatid
this day of W A03aby
Name of person making state.
Personally Known �_ OR Produced Identification_____
Type of Ide�r tLificat
•
•
Signat ula,of Co ractor/License Holder •
STATE OF FLORIDA-wt f `
COUNTY O /1(/'T�—, N
10
Sworn to (or affirmed) and subscribed before me of •
Physical Presence or& Online Notariz Ian
this 97�ayof V by
Name of person making statement.
Personally Known OR Produced Identification • •
Type of Identification _ • • —
Produced • p
(Signature of Nott Iry blli - State of Florida) Si nature of Notalty_2�lic-Lor�ia�owv Puiwc State or FI a
C (1 �qCL5 4 Se Pudw State of F Z(�� s D Donna Jalyne Hall
COmmisslOn O. O iSSiOn No. 0¢rtpn on 22 75
nna Jayne Hall Expires O4i'15/2022
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s5on GG2075,15 • • -
REVIEWS • FRONT G UPERVISOR LAVEGETATION*' SEATURT C MAN13ROVA
— COUNTE REVIEW REVIEW •' EVIEW REVIEW • .REVIEW *REVIEW*
DATE • • •� • • • • • •
RECEIVED
— —
DATE --�-
COMPLETED — �—
ev. 576/20