HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: u•0
38q
. i
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
Plr}pOSED IIti�R01lE�VIET LC+CATItJN
. .,.art_ ..._..::
Address: 10310 S OCEAN DR 107
Legal Description: OCEANRISE CONDOMINIUM APT 107 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-515-0005-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Powell
Setbacks Front X Back: X Right Side: Left Side:
�s �,
AIL Q C1R�PTIC 1�110►R1C �
„-ram, ,�,:- ,vw�,
Install 4 accordion shutters
CQISTRUCTININFORNATfON
Additional work to e nertormed under this permit—c ec a app y:
�HVAC Gas Tank ❑Gas Piping �_Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3,328.00 Utilities:oSewer Septic Building Height:
U1tCfi ER "'S
i � � k J�CON�RAC�'QR• m � �E f � �} � � „ e s r 3
y
i
Name Dalmo Mendonca Name: Michael Heissenberg
Address:10310 S Ocean DR Apt 107 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.561-906-4538 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.
llP�LEM l TAL COI1(STF UC-11 i N LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _iNot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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.
Signature of Owner/Lessee/Contractor gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA (� � r�' STATE OF FLORIDA
COUNTY OF (J l COUNTY OF U I
rn to(or affirmed)and subscribed before me of Swo n to(or affirmed)and subscribed before me of
P y essical Pr ,r Online N tanzation ical Presen Online Notarization
this day of 202�1 by this day of 202q by
i l ftV In
Dame of person making statement. Name of person making statement.
Personally Known \0 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary P�-State of Florida aylor OBrien (Signature of Notary Public-State f orida
l(.,t ,��o11RYASS OTARY PUBLIC p�A1j4�y, �aylor O'Brien
Commission No:'
U\JJ ° TRY PUBLIC
ATE OF FLORID Commission No. { E OF FLORIDA
=Comm#GG958999 ?Comm#GG958999
S�NCE IS' Xp►res Ex fires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.