HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number: 2'-0 '?1 (0912
Building Permit Application FEB 17 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
=,PROP�®SE®�IMPROVEMIENT L®CATI'®N r$
Address: 10600 S OCEAN DR 1110
Legal Description: OCE:ANA SOUTH CONDOMINIUM II UNIT1110
Property Tax ID#: 4511-517-0117-000-1 Lot No.
Site Plan Name: Timothy J Ryan Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
534
DETAILS® ®ES'CR PTI®{N OF Klff" ,4FiTr
a
Install 1 Accordion Shutter
ST'R�UCT`ION INFORNIATIO�N � �
Additional work toe e orme un er this permit—check a appy:
HVAC Ei Gas Tank OGas Piping Shutters I]Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 612.00 Utilities:Sewer Septic Building Height: 120'
Name Timothy J Ryan Name: Michael Heisenberg
Address:10600 S OCEAN DR 1110 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-229-2556 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page{if different E-Mail: Callexpert@AOL.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
7G4®RD �ENTA�. C®NpS�Rll l"I{ N LIEN Li4U\/ INFORM 1TIk®N f
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteco,lnc. Name:
Address: 6355 NW 36th St#305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
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 thepermit 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 attorrjey before
commencing work olFMrding youotice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF COUNTY OFORIDA j, Luc ! COUNTY OFSTATE OF ORIDA C1S
The forgoing instrument was acknowledged before me The forgoing instr ent was acknowledged before me
this_7 � dayof 1u0.r20 L-1-by thisZdayof -i' (LJ_Ct( 20 1 -7 by
Michael HeissenbErg Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
%GL-twV04alu-,,
(Signature of Notary Public-State olLFfaVda) (Signature of Notary Public-State of FlVdIA
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Nof: j 7boa(ou a� HEATHER VIZZCommission No.`I`JF bJLG(6ZRRY&ISdWTHER VfZZO
er' NOTARY PUBL1 Q� r NOTARY PUBLIC
,. STATE OF FLORAi STATE OF FLORIDA
Comm#FF176266 '�Comm#FF176266
Revised 07/15/2014 *QE i91$ Expires 11/13/2018 s�7✓CE19�� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS