HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 10980 S OCEAN DR 814
Legal Description: OCEAN DUNES CONDOMINIUM UNIT 814(OR 486-963. 1194-80: 1218-431: 3047-1625; 3380-251: 3948-1021)
Property Tax ID #: 4512-702-0029-000-8
Site Plan Name:
Project Name: Hall
Setbacks Front X Back: X
Right Side: Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK: I
Install 3 accordion shutters
CONSTRUCTION INFORMATION:
Additional work to ID rformed under
1_1HVAC
this permit — check
Gas Piping
all
apply:
Shutters
Windows/Doors
Gas Tank
Electric ❑ Plumbing
❑ Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 3,415.00
Utilities:
Sewer
E]
Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Betty M Hall (TR)
Name: Michael Heissenberg
Address: 10980 S Ocean DR Apt 814
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 919-995-3550
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail: Callexpert@aol.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: 16572
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _
Name: Tiltecoinc.
Not Applicable
MORTGAGE COMPANY: x
Name:
Not Applicable
Address: 6356 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X
Name:
Not Applicable
BONDING COMPANY: _Not
Name:
Applicable
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 lender or an attorn before
commencingwork o ' our No e of Commencement.
Signature of Owner/Lessee/Contractor as Agen r Owner I Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrumen wad acknowledged before me
this - day of 20 _Uby
STATE OF FLORIDA ,C`� ` { I ww n 1 p
COUNTY OF U l� 1
The foing instrument wasacknowledged before me
this day of U 20 ZL by
Michael Heissenbft Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu lic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
(S(U�lor O'Brien Commission No.
2„ NOTARY PUBLIC
TayI6$6381rien
NOTARY PUBLIC
Revised 07/15/2014 ysi 1 a Comm# GG958999 Comm# GG958999
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Expires 2/17/2024 19�0 Expires 2/17/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
COMPLETE
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