HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber: 0%
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Window/door III
PROPOSED IMPROVEMENT LOCATION: III
Address: Ooeana N 1, 9940 S. Ocean Blvd. Unit 309, Ft. Pierce, Fl- 34949
Legal Descriptionl�LLReplai�e-Etid�b" dTvj§.*Kh:huedean6impaCt�Window!i—
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Property Tax to#: 4502-502-0036-000-5
Site Plan Name:
Project Name:
Lot No.
Block No.
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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I CONSTRUCTION INFORMATION: III
UndlWOMIUDE eF-F0FMeU U"UeFU11b[JeFF111t—UFJeLKd11
HVA MGasTank
E]Gas
dJJP1Y;
P4 Mutters E]Windows/Doors
-
Electric 1:1 Plumbing
E]Sprinklers
FIGenerator 0—
Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Constructloel�a—ELY�P_ - �OO
So. Ft. of First Floor:
Utilities: 0 Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Al Dempsey
Name: Janet milici
Address: 9940 S- Ocean Blvd. Unit 309
Company: Natural Flow
City: Ft. Pierce State: FL
Zip Code: 34957 Fax:
Phone No. 407-319-0166
Address: 391 NE Baker Rd.
City: Stuart State: Fl-
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E-Mail:—
Fill in feesimple-ritle Holderon next page(if different
from the Owner listed above)
E-Mail:.janet@naturalflow.net
State or County License: 131151263
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
: 1, tAL. IN
M
ON
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
—Not Applicable
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 indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co l4ict 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
commenrinor "inrle nr ricirnrding vntjr Nntirp of Commencement.
51 nature of net/ Lessee/Contractor as Agent for Owner
Sign ture of ntractor/License Holder
ST FLORIDA
F FLORIDA
COUNTY OF ftfb,ll
COUNTY CIF —
The f . . t went was acknowledged before me
orCing ins ru
meqz wasilacknowledged before me
The forgoing Instru ent w,
day ydte4YVY-r 20A by
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VA As A- Will i C--I
Name of person making statement
Name of pe�spn making statement
Personally Known.___)( OR Produced Identification
Personally Known )L OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
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(signature of No&4 Puglic- State of Florida
of Notary NjbBb- State of Florida
Public St
Commission No.1201 (S) ate of Flork
ON Do a Jayne Hall
My Cominimion GG 2075S
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Co m No907'69'5 �Vpth (34WIy Public State of For
ission
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My Coromisition GG 20751
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Explr� 0411512022
Expire:804/15/2022
ft
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTUE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
E
COMPLETE D
Rev. 8/2/17