HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-ALLAPPLTUABIF OAPPTEPORIPPL"TIORTO BMCCEPTED
Date: Permit Number:
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fdouildilPeRit A
Planning and Development Services
Building and Code Regulation Division_
2300 Virginia Avenue, Fort Pierce FL 34982
Commercial X residential
Phone: (772) 462-1553 Fax: (772) 462-15781
JERMIT APWICATION WR: Window/door di
PROPOSED IMPROVEMENT LOCATION:
Address: 10310 S OCEAN DR 304, JESEN BEACH, FL 34957
egL al-D"escripti: OCEANRISE CONDOMINIUM APT 304 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-515-0022-000-2 Lot No.
Site Plan Name: Block No_—
Pr�oelIN—a
asont �ack: �igwi Lids;
-
;DETAILED DESCRIPTION OF WORK:
Re'*pl#-e 1 d 1 1 c1 p t o
i
CONSTRUCTION INFORMATION:
un er t is permit- c c a a
,kdclitio a wor to e er Oan• Shutters a• indows/Do-
A A( / EI Gas • • Gas
— iP"ping
6AElectric ❑ Plumbing rinklers a Generator Roof Roof
�'1tS pitc
Total Sq. Ft of Construction: — ScFt. of First Floor. _
Cost of Constrption: 31930 Utilities: Sewer ASe tic _BuildiAei ht:—
WNER/LESSEE: 4W
CONTRACTOR:
Name Crest Jensen LLC
Name: Janet Milic
Address: Rub Brasilia 64 COB 02, 22620 BRAZIL
Company: Natural Flow, Inc
Address: 391 NE Baker Rd.
City: State"
City: Stuart State: FL_
Zip Code: Fax:
Phone No. 772-333-90660
Zipiode. 34994 Fax: 772-334-1078
E-Mail: bragacrest@gmail.com
Phone No. 772-334-1011
. -I-T' n next page (4dierent •
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Pf
m the Ower a
E- janet@naturalflow.net
SCtyLiSCC 1311512630
6
If value of construct )ED Notice of Commencement is required. 1
DESIGNER/ENGINEER:
Not Applicabl MORTGAGE COMPANY Not Applicable•
Name:
Name:
Address:
Address:
City
Zip: Phone
StalJ: • City: State:
Zip: Phone:
j
FEE SIMPLE TITLE HOLDER,
A licable
BONDING COMPANY: Not Applicable
Name:
—Not
Named •
Address:
Address:
City.
City•
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as ' is
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, p rf m t e h
accordance witXing
a approved plans, dajuiId� Codoand St. Lucie County �en jents.
the following buil permit applications are exempt from undergoing a full concurrency review: room a l Ions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential
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 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 our Notice of Commencement. -_
Signatur of Own / Lessee/Contractor as Agent for Owner • I Signat e of Co ractor/License Holder
SRTE O ORID� - • STATE OF FLOC
COUNTY OF mT COUNTY OF
ttTT_
Sworn to or affirmed) and sub nbecl betore me c worn to or affirme and subscribe e ore m of�
Physical Presence or Online Notarization Physical Presence or Online Notarization •
t da f PCULSA��l by this, day of QuAR by•
Name of person making statement. Name of person mng stat.
Persona y no � OR P•dud Identification - Personally Known OR Produced Identification
Type of Identification Type of Id tification
Produced Produced6
' •
(Sign tur f of ry bli - State of Florida) Si na ureJota lic o nda � P� sate of FI
• t� `U 1111fr Pudic State o F �U� s� 5 donna Jayne Hall
Commission No. 1 J D i, SL o ssion No. +� «�(9lleRo� GG 2�5
nna Jayne Hal # • .i Erpues 04/15/2022
My Commission GG 7 5
1EIEWS FROM M G UPERVIS� PLANS I:[EGETATIO: SEJ�TII I GRO
COUNTER REVIEW REVIEW REVIEW EVIEW REV
RECEIVED - — -- -�•— -- •
DATE
COMPLETED —�- •; —�_—� ___
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