HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I h ��o 5q
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: 10044 S OCEAN DR 807
Legal Description. SEA WINDS CONDOMINIUM APT 807
Property Tax ID#: 4502-804-0063-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Bogdewic
Setbacks Front Back: X Right Side: Left Side:
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Install 1 crank roll shutter
121,
Additional work to be nertormed under this permit—checK all apply: i
DHVAC Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1,946.00 Utilities:Sewer OSeptic Building Height:
M2,
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Name Thomas A Bogdewic Name: Michael Heissenberg
Address:1405 Magee RD Company: Expert Shutter Services
City: Sewickley State:PA Address: 668 SW Whitmore Dr ;I
Zip Code: 15143 Fax: City: Port Saint Lucie State:FL
Phone No.412-303-4482 Zip Code: 34984 Fax: 772-871-0990 �I
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.
4 � 4
S,IPPLEMEN` 1 CONSTRICTION L1l.AW INF } MATIt�N s
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecclnc. Name:
Add ress: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 prohlbit'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 a ent for Owner Signature of Contractor/License H r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 aby this Mday of AN 20 a by
Michael Heissenberg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
�& I�u
(Signature of Notary Publi -State of Florida) (Signature of Not ry Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
GG958999 GG958999 Qj)Ygs Taylor O,Brien
Commission No. (5o���y Ss Taylor O'Bri Commission No. ( 'L: - OTARYP06LIC`
o� : yk P oy NOTARY P BLIC QTATE OF A STATE OF FLORIDA
qu a Camm#GG958999 O'o�IS1 8999
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Revised 07/15/2014 's"c 1 k' Expires 2/17/2024 treS 2117(2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS i
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