HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 7a3
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
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Address: 10310 S Ocean DR Apt 501
Legal Description: OCEANRISE CONDOMINIUM APT 501 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-515-0039-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Parent
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION pfWORK � ?
Install 1 accordion shutter
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Additional work to be nertormed under this permit—check a , apply:
❑HVAC Gas Tank Gas Pi Windows
❑ in Piping Shutters Doors Q /
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,210.00 UtilitieslnSewer OSeptic Building Height:
{ UI/NERjLESSE• � CQNTRAfiOR �� r
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Name Joyce&David Parent Name: Michael Heissenberg
Address:10310 S Ocean DR Apt 501 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.772-359-9556 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.
P MORTGAGE PANY: x Not Applicable
COM _
' DESIGNER/ENGINEER: _Not A plicable cable
Name: Tilteco Ino. Name:
AddreSS:6366 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 recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor Agent for Owner Signature of Contrac or/License Ho e
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The f r oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 21by this day of 20 — % by
Michael Heisse4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature o 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
@ � Taylor O'Brien
Commission No. 0 al)PUBLIC Commission NoM v"_gQ ONRY��ealtayior O'Brien
o ' STATE OF FLORIDA
o� ��o NOTARY PUBLIC
O y
STATE OF F
�`r"NCE 19ry% Expires 2/17/2024 i Comm#GG958999
Revised 07/15/2014 sv CEGRIBA
V&P Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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