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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 22 - 19, — Permit Number: I'
SCANNED
�- BY RECEIVED
Rai L ukl _ I, St. Lucie County
Building Permit Applicatio MAR 12 0019
Planning and Development Services ST. Lucie County, Permittin
Building and Code Regulation Division 9
2300 Virginia Avenue, FortPierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT TYPE: Sliding glass door
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S Ocean DR Apt 333 Jensen Beach, FL 34957
Property Tax ID #: 3535.601-0009-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace sliding glass doors with hurricane impact sliding glass doors
1
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank —'Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 28,850
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bryan F. Cross & Kathy B. Cross
Name: Janet Milici
:Address:8750 S Ocean DR Apt 333
company:Naturaf Fiowr Inc.
City: Jensen Beach '• State:
Zip Code: 34957 Fax:
Phone-NoT6144-942
Address:39T NE Baker Rd: ^ '• 4
City: Stuart State: FL
34994 Fax:772-334-10782,;. p
Phone N0772-334-1011
E-Mail:bcross@scgc.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Maillanet@naturalflow.net
State or County License 131151263
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address.
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RFCnRnlNC YfRiR NnTrt'F nF rnMMFRICIP1laFNT ^
hi�
Signat ire of O ter/ Lessee/Contractor as Agent for Owner
Slgrkture of ontractor/License Holder
STATE LORIDA
STATE OF FLORIDA
COUNTY OFs«"da
COUNTY OF st Wcia
The forgoing instry1rient was acknowledged before me
The forgoing instrument was acknowledged before me
this day of GbrvAn 20
� 20oop rebnf� by
Janet Maid
Janet Mild
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 o2CJ7585
Produced 207585
(Signature of N Pu li Sr Flpy�4 ""ban'State of Florida
(Signature of Not ubli -
• Donna Jayne Hall
�207585prgryission GG 207595
Commission No. -. . �� My
Ex
,,n •6 Notary,,P,,u�blic State of Florida
ommission Noc±07SSS 3` p,N,{ �+•,�4 ne Hell
p,•o i 1512022
. my Commission GG 2075p5
'904,
Expires 0411512022
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ev. 2/7/19