HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONTCABLF "'7rCn.",PPLTC
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fD;Vate:4#%#N"Permit
Number:
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BuiAM Perms AIica id
lanning and Development Services
uilding and Code Regulation Division
12300
Virginia Avenue, Fort Pierce FL 34982
hone: (772) 462-1553 Fax: (772) 462-1578 CO
rcii X �Siibtial
ERMIT A WLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
--�- - - �-
Address: 9900 S OCEAN DR 801, JENSEN BEACH, FL 34957
ega escription: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 801 AND UND SHARE IN COMMON ELEMENTS
Pro erty Tax ID #: 4502-503-0075-000-3
�i Ili
Lot N .
B o.
ole ame:
�etbacks •Front Back* � Right Side: — Left Side:
DETAILED DESCRIPTION OF WORK:
1 s i ing door with1 Urrlcane impacts
I ing door
place glass
glass
CONSTRUCTION INFORMATION:
dditional work to b e r orme under this permit — check
11HVAC I I Gas Tan k� Gas Piping
a apply:
• •
, � Shutters Q Windows•/Doors
[IE 10c ric ,❑ Muming El
or �of �f i
eTotal S . Ft of Construction: �S . Ft. of First Floor:
Llti t �S
s o ons ruc io 150� Si S� �g
_— W
OWNER/LESSEE:
CONTRACTOR: A�
Name Richard Teixeira Leigh Teixeira _
Name: Janet Milici
Address: 178 Nautilus WAY=
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd
City: Stonington State: CT
Zip Code: 06378 — Fax. —
City: Stuart • _ State: FL _
Phone No. 860-501-3977 _
Zip Code: 34994 max: 772-334-1078
E-Mail: rictex@msn.com
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) ft
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
•
DESIGjjE
Name.
Address:
City: —
Zip:
of
Ica
State.
Phone 4111* •
FEE SIMPLE TITLE HOLDER:* WNot Applicable
Name:
Address:
Cityle
Zip: Phone:
MORTGAGE COMP
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: WNot Applicable
Name: • •
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to-do the work and installation as indicate
certify th no woO or installation has commenced prj�to issuance of a p it.
t Lucie County ma es no representation that is granting a permit will authorize t e permit ho er to uild t e su mw ject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
sktructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
1h consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordanc'th tld h approv plans, te F#rida Building C�de nd t. Luci#ounty*endm*S.
reofollowingviewnh n�apom additions
ccessory structures, swimming pools,dnces, walls, signs, seen ro#band accessory uses to anothewon-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 S
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financin consult
with lender or an attorney before commencingwork or recordingour Notice of Commencement
Signatur of Own / Lessee/Contractor as Agent for Owner • Signat a of Co ractor/License Holder
STATE O D ,A,--/�� - STATE OF FL ID -
COUNTY OF �j�?I COUNTY OF� �fj
S- to (or affAd) Od• • ibld Of"R me of — Sworn to (or affirmed)k subscribed before me ofr
�L Physical Presence or 11111111111111111111111110riline Notarization Physical Pres nce or! Online Notarization
tj/ day OtiIL 0 by this m day of by
Name of person making statement. f peso a 'ng se nt.
Personally Known �_ OR Produced Identification— Personally Known OR Produced Identification
Type of Identificati Type of Idtification • • _
Produced Produced 4
�
I
(Si nature of Not ry"bli State of Florida) (Signature of Notaky_P_ublic- 5i o r a
otery PudtG State of FI
r7 eu Pubs State Of F Zrl (5Q 5 nna Jayne Hall
Commission No. 1 J D S o fission No. VV v=�rrvn�ss�onGG
nna Jayne Hall • �j� Exp,res 04115/2022
My Commission GG 5
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• FRONT G UPERVISO LA VEGETATIO • MANGROVE*
COUNTE�. REVIEW• REVIEW 0' EVIE REVIEW ��EATI_IRTIP
REVIEW� •REVIEWDATE -----
RECEAD
DATE
COMPLETED • -____ �_— .
ev. 76/20