HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `1=�Vt "\ Permit Number: EC-7– UK
Building Permit Application
Planning and Development Services 1pc9aP j�9
Building and Code Regulation Division e a
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PR WO'SED IMRROVEMENT LOCATION
Address: 9940 S OCEAN DR 404
Legal Description. OCEANA OCEANFRONT CONDOMINIUM ONE APT 404 AND .7875 PERCENT INT IN
COMMON ELEMENTS
Property Tax ID#: 4502-502-0041-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Byers
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION 0E WORK ry '`
Install 1 accordion shutter
CONSTRUCTIQ.N INFORMATION x
�li a
itiona wor to e e orme un er t is permit–c hecka apply:
HVAC Gas Tank ❑Gas Piping LJ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 3,086.00 Utilities:Cn Sewer D Septic Building Height:
–7777
.OWNER/LESSEE CONTRACTOR: 7777
_. . .
Name GBW LLC% Richard A Byers Name: Michael Heissenberg
Address:4590 NE Sandpebble Tr#401 Company: Expert Shutter Services
City: Stuart State:FL Address: 668 SW Whitmore Dr
Zip Code: 34996 Fax: City: Port Saint Lucie State:FL
Phone No.314-800-6246 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.
.SUPPLEMENT L�Q- QN�STTCT 10NALIEN LAW INFORMATIONS .
oz
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tiltecolnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 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 intend t, obtain financing, consult with lend e or an ttorney before
commencing work ,r--recQr ' our Noce of Commencement.
0��6;'Z�
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Signature of Owner/Lessee/Contractor as AVOwner—Owner Signatur f ontractor/License Holder
STATE OF FLORI A STATE OF FLO D
COUNTY OF r Ci P COUNTY OF- I'
The forgoing instru ent was acknowledged before me The forgoing instr ment was acknowledged before me
this at) day of 20 10,by this 111n day of 20 jt�__by
Michael Heissen4rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
AOAk& A
(Signature of Notary Public-State of Florida) (Signature of Notary Pub State State of Florida)
Personally Known OR Produced Identification Personally Knov� OR Produced Identification
Type of Identification Produced Type of Identification Produced Rhanon O'Shea
1c Shanon O'S ea `' o NOTARY PUBLIC
Commission No.%A (S YA s NOTARY P �ghmission No. �� I -+STATE OF FLORI IN
o� --+STATE OF LORIDA y =Comm#GG25803
0258038 g
Revised 07/15/2014 ys�NCE IExpires 9/1 20�
'%' Expires 911212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS