HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ¢¢nn 22
Date: Permit Number: () l 1 J' O l
RECEIVED
Building Permit Application
Planning and Development Services MAR 0 7 2010
Building and Cade Regulation Division permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
-
PROPOSED I,NIP,ROUENIELOC4TION" M1 �` ¢t '� LVT x
Address: 11000 S Ocean Dr #3-J, Jensen Beach, FL 34957
Legal Description: Villa Del Sol -Condominium Unit J and UND Share in Common Elements Tract 3 (OR 3139-583;3470-820)
Property Tax ID #: 4512-701-0034-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Anna DeSenze
Setbacks Front Back: Right Side: Left Side:
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CONSTRUCTI,O,NINFORIUTAIION
rtiona wor to e e orme un ert ispermit—c ec a appy:
OHVAC Gas Tank ❑Gas Piping n_ Shutters Q Windows/Doors
11 Electric OPlumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt of First Floor:
Cost of Construction: $ �� r d (V 0� ('0 Utilities: Sewer E] Septic Building Height:
OWNERfj
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ESSEE k u a ; ;£ .x'; , w ems,
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CONTRA FOR; ,. :
Name Anna DeSenze
Name: Scott Berman
Address: 5956 NW 126th Ter
Company: Florida Window and Door
=City:Coral Springs State: FL
Zip Code: 33076 Fax:
Address: 7108 Fairway Drive Ste 120
_
City: Palm Beach Gardens State: FL
Phone No.954-821-0110
Zip Code: 33418 Fax: 561-624-8037
E-Mail: annadesenza@gmail.com
Phone No. 561-340-4300
Fill in fee simple Title Holder on next page ( if different
E-Mail: Howard@floridawindowanddoor.com
State or County License: CGC-1509450
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of commencement is required.
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SUPPPP.E, ENTAE CQN 7R11 ION IEtU 1A11t INFORIVfATTION
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DESIGNER/ENGINEER:
Name:
X Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I 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, perform the work
in 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 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before RECEn
comIng work or recordipg vour Notice of Commencement.
r_� r I _ I _ MAR 0 7
re
STATE OF FLORIDA
COUNTY OF
The forgoing instrumen was acknowledged before me
this � day of OC ftu& kr 20 L7by
Anna DeSenze
(Name of person acknowledging )
`% l
(Signature of Notary Public- State of Florida )
Personally Known V__�OR Produced Identification
Type of
Identification
Identif—icati onProduceed
CommissionNo.9voE.`��s
e:a -OSEM.CATrINrIRnLA_
stateofFloNotaryPublic o
Revised 07/15/2014
STATE OF FLORIDA r�
COUNTY OF
The forgoing instrument was acknowledged before me
this) (,O_ day of 20 1_&_ by
Scott Berman
(Name of person acknowledging)
(Signa�uJre of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identificaticiii Produced
acnd,dtbMUgb National NataryAam.
A.HAMMERSLA
EXPIRES July 09. 2019
St.
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
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INITIALS