HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO
Date : Permit Number .
Y x
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ui in ermi ica ion
Planning and Develo meat Services
Building and Code Regulotion Division
2300 Virginia
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462 - 1S78 ommercia
PERMIT Shutter
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OCEAN
ISLANDIA I CONDOMINIUM UNIT 1302
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Lion Descry tProperty Tax ID # :.
4502-601 -0116*oOOO-4
Block N .
Site Plan Name : .
Pro
Name 9 ject
o Eijan
X Ri ht Side : Left Side :
Setbacks Front Back %
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Install accordion shutter
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work to
Additional be I)e rmed
this — check---Iapply .
HVAC Gas Tank Gas Piping Shutters
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq . Ft of Construction :
First Floor :
Cost of Construction :. 3 , 437 . 00 Utilities : fewerBu 'llding Heighte.
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Michael rName avidi Shank Eijan
10372 NW 130 St Company : Expert Shutter Services
Address : dmmmmr�
City ,
Hialeah Gardens State : FL Address : 668 SW Whitmore Dr
State : FL
Zip Code : 33018
Port Scieaint
34984
786-390-9632 z i Co d e ,,,, Fax
@ 772
-871 -0990
Phone No . MEMO
E — Mail :
Fill in fee Mimple Title Holder i i
Called
%loommomp� I
fromthe Owner listed above) State or C rat License : - 16572
if value o.f construction is $ 2500 or more, RECORDED Notice of Commencement
7
SUPPL' M � N`�'� L �� �l ��R �9cT- , . C3N Ll �t L�1�tt � � � �tA`� i0... . l� °
DESIGN ER ENGINEER . ......
Not App-1 ' c---_jb1oi MORTG-AGE COMPANY . _. .._ Not Applicable I
* T111po%)u., Inc . % I
Nat-ne. -- ----------------- awww", ------6- #.!-d% Name .
A d t� re ss : sass NW ,36th_ St su,re �5 ---------------------------------- *A 1 6 01 1 -d 04+" P0fi%%ftftk%0w Address ,. __..._ �.
C " ty -hVirglma State ..
tf" : � 1��/ ,
"iyj6fi Phone ZI �9 : � � {5 (lf',zip .. . __._. __..._.... .._ _..�
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FEE SIMPLE TITLE HOLDER ; Not Applicable BONDING COMPANY : _Nat Applicable
Name .
Narne : __dwids
AddrPtis : Address : ..........
City : fit
Zip : P h o ne : Zip : P ho n e ;
OWNER/ CONTRACTOR AFFIDVIT ',' Appli' Cat ion is hereby made to obtain o permit to dot' 'he work andi" nstallation as indicated .
certify that tin work or installtat 'l' on has commenced prior to the"ISSUACIMCCI of a permit.
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St-. Lucie Gaunty makes no i`epres � �it ��tion that is gran ting r� � c� rmit wii ! authori ,� � the permit balder to build the SubJect str�� cture
w ich is in conflict with any applicable Home Owners Associritio.. n ru1e5 , bylaws or and covenants that may restrict or . prohibit such
structure . Please coi7sult with your Hon* Owne rs Association and review your deed for any restrictions which may apply .
In Consideration of the granting nl LNIS re quest €� ci permi t, I do hereby agree that I will , in all rt�spetCs, perform the work
in accc) rdance with the. approved plans , the Florida Btiilding Codes Ind St. Lucie County Amendments .
The following buiiding permit a pplications �� r� exem � i froft) 4� nd�r�oin� a iull cr� r7curiency rev iew : room additions,,
accessory structures, swimming pools, fiances, walls, signs, screen rooms .and accessory uses to another non-residential use
"WARNING TO OWNER& YOUR FAILURE TO RIECORI) A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
T'Mtl'ICE FOR IMPROVEMENTS 70 YO�Iili PROPERTY . A NWTfCE O� COMMENCEMENT MUST BE RECORDED AND
POSTED Ohl THE JOB SITE BEFORE TH FIRST 114SPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WffH Y01JR LENDER ORNEY EFORE RECORDING YOUR NOTICE OF CO11� - ------- MENTr
Signature of Owner/ Lessee./Contractor as Agent f r� Own-er Signature ofContractor/ License Waller i
STATE OF FLORIDA STATE OF FLORiDA
COUNTY OF -,---L�&�- _-, _., COUNTY OF .�� � l �� � a_ C' ��_ _.
The forr- ninp, instrument was � cknowl €�dgec� before me The. forgoing instrument was acknowledged before me
thi s, _ 6 cl .,y o-f _November � , 2,020 by this 6 day of _November , 20 20 by
Michael Heissenberg Michael Heissenberg
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Name of person making statement Nanie of person making statemeiit .
Persontally Known �_ OR Produ ( ed Identification Personally Kriown . . . „ OR Produced Idembfic,':ition
Tyke of Identificatioll Type. of Identification
Produced Produced .-' . _
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( Signature of Notary Public- State' o' dil y p�,��G (5i �r� �ture of Notary Public- 5t�te of Flo ' si% ��nnn aSh+��
N�TA1�
�jq*TATEo� �t,.C3�1 pr Nt�TARY PlfBt,i
Corr� mission No. �j�� - ' pG23��8 Comniission No Q _ e TATE OF FLOF2 D
A21202Comm# GG2580
OAR
ices
REVILWS FRONT � ZONING SUPERVISOR PLANS VEGETATION SEA TUft1LL MANGROVE
COUNTER I R t� V IF W REVIEW REVIEW REVIEW REVIEW REViEW
DATE
RECEIVED
DATE
COMPLETED _ ...L_ .._..