HomeMy WebLinkAboutBUILDING PERMIT APPLICATION KingALL APJLICABLE INFO MUST BE COIVI• • T FOR APp�ICATION TO BE ACCEJTED•
Date: Permit Number:
Ps—
- - Buil ing Permit A lication
Planning and Development Service s•
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
phone: (772) 462-1553 Fax: (772) 462-15780 •COCial X �9Sidegial# ":r _
J,JERMIT APPLICATION FOP*Window/doo
PROVEMENT LOCATIOM'
Address: 10680 S OCEAN DR 1104, JENSEN BEACH, FL 34957
Legal Description: ISLAND CREST CONDOMINIUM UNIT 1104 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0111-000-6 Lot No—_
an a
olect�a me:
Setbacks Front— Back: ! Right Side: —Left Side:
[DETAILED DESCRIPTION OF WORK:
ep ace 2 slicling glass doors with urricane impact slicling glass doors1W
CONSTRUCTION INFORMATION:
Additi al work to be nertormed under this per — check all apply: • •
WHVAC Gas Tank *Gas Piping _ Shutters Q Windows/Doors
❑ ec ric P um ing ❑Sprin s ❑ Pen or ❑ ' , fj
*Totall S . Ft of Construction: S . Ft. of First Floor:
o ons ruc io 16,600 Utili i _ p g ei
1b — g
OWNER/LESSEE:
CONTRACTOR: ••
Name Patrick A King
Name: Janet Milici
Address: 99 Hudson ST Unit 4700 _
City: Jersey City _ State: N_JO
Zip Code: 07302—Fax:_ _
Phone No. 201-885-969 _ _ _
E-Mail: 4D
Company: Natural Flow, In
Address: 391 NE Baker Rd.
City: Stuart State: F
Zip Code: 34994— Fax: 772-334-1078_
Phone No. 772-334-1011 -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Janet@naturalflow.neto
State or County License: SCC 131151263
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ,
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address: •
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not A licable
Name* �
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not A licable
Name:
Address:
City: M State:
Zip: Phone:
BONDING COMPANY: Not A licable
Name
Address:
City
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to d the < and in Ilat as indicatgd.
certify that no work or installation has commenced prior to the issuance of a permit. 4
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure 0
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 *0
_
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
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
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, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
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Sig�tur o wn /lessee/Contractor as AgentOr Si� t C actor/License Holder
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STATE OF FLORIDA STATE F FLORIDA 0 lij
COUNTY OFF MAf--n N e COUNTY OF mAtl 1
Sworn to (or affirmed) and subscribed before me of, _
hysical Presence or Online Notarization
this&:�'da�y of ,JM by
Name of person making statement.
Personally Known �X OR Produced Identification —
Type of Ideni cati6
Produced • .0. •
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�Si nature of Not ry P lics3
Y tary Public State of
Commission No. `J (S@®tlna Jayne Hall
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REVIEWS ] MRON ZONING*
• COUNTER REVIEW
V(or affirmed) and subscribed before me of&sical Presence or Ore Notarizationday of • IM by•
e of p rson ma ing statement.
Personally Known OR Produced Identification —
Type of Id tification•
Produced
•
Pu
Y ► #UNotary Public State of Florida
Co mission No.. O _� �aYne Hall
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•a xpires 04/15/2022�
ON SUPERVISOR IOPLANS � VEGETATIONN SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW I REVIEW
DATE *I* OleRECEIVED' -
DATE
COMPLETED —
ev. 5/6/20
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