HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C�'I 1 Permit Number:
ECEWED
Building Permit Application FEB 17 2017
Planning and Development Services PER":SITTING
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
PRdPOSEO IIVIPR01%EMENT LOCATIOIUn a r
Address: 9490 S OCEAN DR 816
Legal Description: OCEAN TOWERS CONDOMINIUM A-UNIT816
Property Tax ID#: 3535-701-0063-000-3 Lot No.
Site Plan Name: Richard Gomez Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
®ETA11LE® DESCR�IPTION�OF�WORK V > �- re'.a a .1k' 7. .-#'F 5 k"'�r �,. ,.'� �':-r�av
Install 1 Accordion Shutter
CONSTRl1CT10NINFORMATION X40c �ysx
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Additionalwork to be –erTo—rmea under this permit–check all appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1005.00 Utilities:n Sewer[]Septic Building Height: 80'
01IVNER%LESSEE sCONYTRACTC}RgUM .
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Name Richard Gomez Name: Michael Heisenberg
Address:9490 S OCEAN DR 816 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.305-304-5816 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.
SIJPPLE�M�E.N'TEAL CONS�TFt.U�TIO�N �I�EN�LA�VV I�NF�®RIIUTATI�®, �"
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Tilteco,lnc. Name:
Address: 6355 N W 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 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 int nd to obtain financing, consult with lender or an attorney before
commencingwork rdin o r Notice of Commencement.
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_Signature of Owner/Lessee/Ag nt Signature of Contracto License H [der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF }�-, L.l� C I COUNTY OF C( e
Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this +day of 6 l 20 Lby this day of-Ph I LA(l(4_,,20 f by
Michael Heissenb,4g Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of&&66a) (Signature of Notary Public-State qYleicla)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced,1 _ P Type of Identificartioon' Produced
Commission NoT�� (,Q(p(0 (SFil=bTFIER VIZZO Commission NoT {- �7�0� (Seal)
0 o1ARYo�i NOTARY PUBLIC �e�o/ NOTARY PUBO
oa c 'STATE OF FLORIDA
W Comm#FF176265 W `�Comm#FF176265
Revised 07/15/2014 'sEce>,0t Expires 11/13/2018 s%�csi9ti�
Ex fres 11
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
=INITIALS