HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: L (I
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Building Permit Application Juaweaaa
Planningand Development Services
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Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 p3n13
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 8800 S OCEAN DR 606
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM II UNIT 606
Property Tax ID#: 3535-603-0050-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Oleszkowicz
Setbacks Front Back: X Right Side: Left Side:
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Install 1 accordion shutter
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Additionalwork to be nertormecl under this permit—check all apply:
E1HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 6,999.00 Utilities:0 Sewer 11 Septic Building Height:
OWNER�C.ESaIE CtNTR'AGUR' r t
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Name Dennis&Laura Oleszkowicz Name: Michael Heissenberg
Address:8880 S Ocean Dr#1410 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.772-229-9711 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.
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SUPPIEMENTAL CC7NSTR�I�TION LIEN LAW INFC?RMATIC?N
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: k _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 recording our Notice of Commencement.
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Signature of Owner/Lessee/Contrac as Agent for Owner Signature of Contractor/License Holde
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY O F St.Lucie COUNTY OF St.Lucie
Thekorgoing instr t s acknowledged before me The rgoing instr �twas acknowledged before me
thi day of 20 Aby this&day of N 20 _J\by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(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. GG956999 Taylor O'Brien
,,AR ftal)NOTARY PUBLIC Commission No. GG956999 (Seal)
STATE OF FLORID qs Tay or O'Brien
oQ �o NOTARY PUB
° o TE OF FLORID
Revised 07/15/2014 MAT E�g1� Expires 2/1712024 °s =Comm#GG958 A
V E 191� Expires 1
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS