HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' Permi um -eT-- ����� •
w
d
FEB
Building Permit Applic tion 2020
Planning and Development Services Permitting
e-p
Building and Code Regulation Division ` c r �7�r1
2300 Virginia Avenue,Fort Pierce FL 34982 X �� • LIJCI e �O U f1 �'r FL
- Commercial idem+al--
Phone: (772)462-1553 Fax: (772)462-1578 CO
PERMIT APPLICATION FOR: Shutter
x ��
P,ROPOSFDItl1PROUFIVIENT LOCATION
Address: 9490 S OCEAN DR 716
Legal Description. OCEAN TOWERS CONDOMINIUM A-UNIT716 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 3535-701-0055-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Haft
Setbacks Front Back: X Right Side: Left Side: X
dET qI �RIPI iON OF 1NORi ' 3 3
3 b
Install 2 accordion shutters
CC?NSTRUCTI.tJN"INFOR1UlATIE7N '7
�
Additionalwork to e e orme under this permit—check a t appy:
Gas Piping Shutters 0 Gas Tank ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1,876.00 Utilities:Sewer Septic Building Height:
tWNERjF�,SEE4 ` COIUTRACTC}R`
; Fh fir.
Name Heidi S Haft Name: Michael Heissenberg
Address:9490 OCEAN DR#716 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No.814-440-4075 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.
SUPPLEMENTAL CONSTRUCTION LIEN La11U INFORMATION.
r
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 to obtain financing, consult with lender or an attorney before
commencing work or recordi ur Not.''e of Commencement.
s
2i N Signature of Own er/Lessee/Contr ctor as AgbrifforIpwrier Signature of Contractor/License HolderCQ
MQRC00 rem �o
STATE OF FLORIDA STATE OF FLORIDA
p a o COUNTY OF St Lucie COUNTY OF UTl��Cl�- tee• Ldo°may
r0 Z
a The forgoing instrument was acknowledgeTby fore me o D
l— ¢ The forgoing instrument was acknowledged before me g g g
0) z u~i v this day of V�by�a 20 Eby this��day of ��YUIa I 20 a, V.
t10 co Q O
J
vW
C 22
iQ Michael Heissenb�,g Michael Hsissenberg .N� C n
royb�la �j (Name of person acknowledging) (Name of person acknowledging) N v
—&ftQ�N_ o C 1; o
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG258038 (Seal) Commission No. GG258038 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS