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Home My WebLink AboutBUILDING PERMIT APPLICATIONT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: 113I a -CU�3 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 RECEIVED DEC 0 3 2010 Permitting Department St. Lucie County PERMIT APPLICATION FOR: Window/door IIII PROPOSED IMPROVEMENT LOCATION: �II Address: Oceanrise Unit 204 10310 S. Ocean Dr., Jensen Beach FL 34957 Legal Description: Replace existing windows with hurricane impact windows Property Tax ID #: 4511-515-0012-000-9 Site Plan Name: Project Name: Setbacks Front Back: Right Side: LeftSide: Lot No. - Block No. DETAILED DESCRIPTION OF WORK: III Replace existing windows with hurricane impact windows CONSTRUCTION INFORMATION: III 11HVAC Li Gas Tank 11 Electric 1:1 Plumbing Total Sq. Ft of Construction:. Cost of Construction: $ 2475 Piping Shutters ❑ Windows/Doors Generator 1 Roof = Roof pitch S Ft. of First Floor: Utilities: 0Sewer0Septic Building Height:— OWNER/LESSEE: CONTRACTOR: Name Debbie Johnson Name: Address:10310 S. Ocean Dr. Unit 204 Company: Natural Flow City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No.954-588-4208 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 fee simple Title Holder on 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: _Not Applicable Address: City: Zip: Phone: UWNLK/ LUNTRALTOR 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 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 commencing work or recording our Notice of Commencement. S=nature Owner/Lessee/Contractor as Agent for Owner Si nature of ntractor/Ucense Holder FLORIDA A� i COUNTY OF IV M ,� n t I, r tTl�- COULORIDA FTf�-- JV The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 3rd day of oawm 20L by this an day of 13—Mba, 20 I8 by ��{�fi� 1 V u 1, f L-� �Ci,1/1�S Ll Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature ofWotliry Public- S te�F idalatary Public State of Flood " 3 IS nature of NbWV Pu6 c- 9 ate f c rit�4ry Public State of Florida ''rk Donna Jayne Hall Commission No. ()7�gCommission N°• 7�o�,IS iHAeam04/1512022 2W59 jtp a� Donna Jayne Hall J� �6 "'o.n ' �lbansz0 2 sorses Co mission NU.!�V �J 6 :,_wM1o�� 'Oan5zoz2 2Wsas20758 Co mission No pp REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17