HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONLL APPLICABLE INFO MUSTPLE A W •
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Date: 0 0 0 Permit Number:
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B�uil ginPerm it A'Pi ication
Planning and Development Services•
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
one: (772) 462-1553 Fax: (772) 462-1578:C Cial X e5td I a I —
PERMIT APPLICATION FOR,Window/doo
PROPOSED IMPROVEMENT LOCATION:
Address: 10680 S OCEAN DR 804, JENSEN BEACH, FL 34957 40
Legal Description: ISLAND CREST CONDOMINIUM UNIT 804 AND UNDIV SHARE IN COMMON ELEMENTS (OR 3951-1682)
Property Tax ID #: 4511-516-0081-000-6 Lot No—
11 lip
C. M.
ojec ame:
Setbacks Front- Back: -Right Side: Left Side.
DETAILED DESCRIPTION OF WORK:
Replace 6 windows and 2 Sliding glass doors with urricane impact windows and 2 hurricane impact
s 'ding gl ssd or
CONSTRUCTION INFORMATION:
Additional work to b e e orme under this permit —check a apply:
�HVAC — Gas Tank Gas Piping _ Shutters zoom* Windows/Doors
E ec nc ❑ um rng [!] prrn ers , Gen�r oo oofpitc
Total Sq. Ft of Construction: S . Ft. of First Floor:
Coy 20,260 Ut I S_ � p g ig
OWNER/LESSEE:
CONTRACTOR:
Name Lowell J Murad Maria Murad -
Name: Janet Milici
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd.
Address: 8221 SW 28th ST
City: DAVIE _ State: FL*
Zip Code: 33328—Fax:
City: Stuart tate: FL*
Phone No. 954-610-0838
Zip Code: 34994 —_ Fax: 772-334-1078_
E-Mail: phmliquidation@gmail.co
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/ENGINEERS �lNot Applicable
Name:
Address:
Citym State: •
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Namef-
Add&
City.
Zip: Phone:
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name
Address
City.
Zip: Uone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicate
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
ructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply . -
n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work ff
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 concurrency review: room a itions,
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*
Iimprovements 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, colaul
with lender or an attorney before commencing wOl or r= our Notice of Commencement.
Sign�atur of Own / Lessee/Contractor as Agent for Owner •
STATE O RI
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this�tb�jfay of �Qa,l6cg „ oA4 40
Name of person making statement.
Persona y ! nowrr,, ro ucMee
Type of Identification
n__J..__J
(Signature of NotAry !{ublio-State of Florida )
Commission . t lJ 1 J OFri
Se 'Y,1: Snce
rma Jayne Hall
J My Commission GG
FRONT G UPERVIS
COUNTER REVIEW REVIEW
DATE
RECEIVED 40
DATE
COMATER1
Signatufe of Co ractor/License Holder
STE F FLO� • • O
COUNTY OFF f�l
Sworn to or a irme and subscribed be ore me o
X- Physical Presence or Online Notarization
his t`day of by
Name of person matg statement.
Personally Known X OR Produced Identification —
Type of Id4tification
Produced Ask
re jjotar*_Emuc--sToyF�aa� Public Slate of
ams� Hall
ission No. ZU75v��(91a�'o"GG2
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Expires 04i1612022
REVIEW
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