HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date:-2. Permit Number: o�
Tf# �i" ;r RECEIVED
Building Permit Application MAY 04 1011
Planning and Development Services R.rmitti^g Department
Building and Code Regulation Division Sc.. Lucie Coi_inty
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 9940 S OCEAN DR 1010
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1010 AND .8625 PERCENT INTIN COMMON ELEMENTS
Property Tax ID#: 4502-502-0107-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Martin
Setbacks Front Back: X Right Side: X Left Side:
Lxi,.„y �a",t,,(.)?.:.�E: D�'I'�F�. �..�jP'T a{✓j.d3i`( n ''° . ,`+s iR' K(/�ai arE',.��3�..*.�i3 s. g.n, " y: a3�
r&M� 'a3 Q s Rik tVk'1� 1< 'ri'i pfsg s'ln,'5.���`e^_?. '"v n ar.,.qi tt�€e 5• `- :':-.a`� -�a�p.`.�a,
Install 2 accordion shutters
s'
�_ S „E `S �� .s. �.»�. ��a k">:� n.M..m �._ -.Ys � i...._..�..,P .,;. c����..---� -•- W"_���Tt..v_z:
r itiona wor to e e orme un er t is permit—c ec a app y:
❑HVAC �Gas Tank Gas Pi in �_Shutters Windows Doors '
Pg ❑ /
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
i
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 7,766.00 Utilities:Sewer Septic Building Height:
y W ` ,.s�an • 5' ?c, rr `§�: ��,:".,�,.',� "ong 90 rTt A A .E
Name 9940 1010 S Ocean Drive LLC Name: Michael Heissenberg
Address:256 N Encinitas Ave Company: Expert Shutter Services
City: Monrovia State:CA Address: 668 SW Whitmore Dr
Zip Code: 91016 Fax: City: Port Saint Lucie State:FL
305-281-9732 34984 772-871-0990
one No. Zip Code: Fax:
Mail: Phone No. 772-871-1915
in fee simple Title Holder on next page(if different E-Mail: Callexpert@aol.com
,[[Fi'll
om the Owner listed above) State or County License: 16572
alue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFQRMATIQN`S -
��
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tilteco Inc. Name:
Add ress:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FI_ 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.
s
Signature of Owner/Lessee/Contractor as nt for Owner Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
i
The f going instrun en wa acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Eby this day of 20 by
V IL
Michael Heissenberg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
Q3�
(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 Taylor O'Brien Type of Identification Produced
NOTARY PU
Commission No. GG958999 „�( WTATE OF FLORMA Commission No. GG958999 O NRYgss ((� q O'Brien
G Comm#GG958999 Q ,^ °g'NOTARY PUBLIC
s , 024 Yl ESTATE OF FLORIDA
Comm#GG958999 i
Revised 07/15/2014 r'�CE 10�0 Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS