HomeMy WebLinkAboutBuilding Permit ApplicationIMPPLICABLE
Date: - -
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ermit Number:
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9Bu*11din4gD Perr it Aftl tint
Planning and Development Services
Building and Code Regulation Division
02300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15780 $Commercial X IrResidential
Address: 10680 S OCEAN DR 403, JENSEN BEACH, FL 3495
egafQescriptio P
ISLAND CREST CONDOMINIUM UNIT 403 AND UNDIV SHARE IN COMMON ELEMENTSO
Property Tax ID #:
4511-516-0040-000-7 Lot N
4et a _,,iont Pack: igh4ide: Libide:
'DETAILED DESCRIPTION OF WORK.
pIPe 2 SIidj?gIMR0%Rth 2 1id'F9IJ"dof '
•
aaiti ai worK to oe errrWei unaer tnis permit — CneU aii a i -
O AC _ Gas Tank *]Gas Piping _ S utters Q Windows/Doors
Electri ❑ I inlfS rink rs • Generator , Roof , — Roof itch
Total Sq. Ft of• Construction: S�Ft. of First Floor:
�t of Co strT, ctp 16,600 Utilities: L�J war W Seetic [3�Idin�Height—
C S � � r ��
OWNER/LESSEE: ii
CONTRACTOR:
Name Eileen L Quinla
Name: Janet Milici
Address: 52 Argonne Rd
Company: Natural Flow, In
City: Hampton Bays
Zip Code: 119460 —Fax:—
Phone No. 631-445-7726
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
No. 772-334-1011
E-Mail: Eig7@optonline.net
tloldEon next page (if different
Fjjp fee simple 01stevabove)
om the Owner
4one
ai`anet@naturalflow.net
e or Cou Lic • SCC 131151263
value of construction is $2500 or ore, a§jCOBpEDly ice ofCormencern t is required.
DESIGNER/EWI JEFJ: -_ Not Appli
Name:
Address:
City: S
Zip. Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not 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
I certify that no work or installation has commenced prior to the issuan a o�a or
mSt�cie Ltyke�ita it s g �ntin aperms illth'6rithermit holder �ild t e� suTject structure
which is in confflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit su�
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 ccor nce with appro PI ns, t"Flo a*uilding Co s �d Lucie Co ty�.0i bt7fldi ermit li ione t from un rg�n full cf ciu ren r 177000m additions
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothefon-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 S .
.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.
Q*A1111 - • / C4114T
Si>;natur of
STATE OF FLORIDA� I {
COUNTY OF N
as A ent for Owne Si ture
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S orn toy
o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
thi day of MA" UW byM
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Name of erson makin statement
Personally Known_ OR Produced Identification
Type of Identification —
Produced
COUNTY OF
actor/License Holder
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ArS n to (or affirmed) and subscribed before me off
Physical Presence or Online Notarization •
this iQL day of /YIAA 7� by
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Name of person making statement. •
Persona y Known _ roduced Identi ica ion
Type of Identification - •
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(Signature of Not ry P IiC ature of Nota
r. No Public State o1 Florida
Notary Public State of FI a � T47Y a ne Hall
ommission o. eJ (5@®grta Jayne Hal o Issi— on No. (} Y
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• • or �dPefxpires 04/15/2022 •a M Expires 04/15l2022
4ROI�T ZONING SUPERVISO PLANS VEGETATION SEA TURTLE* MANGROVE
COUNTE% REVIEW REVIEW W REVIEW REVIEW 40 ISREVIEWft JOREVIEWft
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