HomeMy WebLinkAboutBuilding Permit Application d,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit NumberA 10to.
M!-i111
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
I?ROPOSED lPRQUEMENT LOCATiaN
_ .f- . .
Address: 9940 S OCEAN DR 608
Legal Description.. OCEANA OCEANFRONT CONDOMINIUM ONE APT 608 AND .7875 PERCENT INT IN COMMON
ELEMENTS
Property Tax ID#: 4502-502-0065-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Wartonick
Setbacks Front X Back: Right Side: Left Side:
FAILED DESRIPTIf)N QF
Install 2 accordion shutters
U
CNSTRUCTIN INfORN1ATICN:
Additionalworkto eperformed-, under this permit—check a apply:
1JHVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1,164.00 UtilitieslnSewer Septic Building Height:
O'WN�,Rl/LESSEE CQNTRACTQR n
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Name Lori J Wartonick Name: Michael Heissenberg
Address:2303 Mill Pond Dr Company: Expert Shutter Services
City: South Windsor State:CT Address: 668 SW Whitmore Dr
Zip Code: 06074 Fax: City: Port Saint Lucie State.FL
Phone No.860-402-8411 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.
3
SUPPLEM i fAIrCONSTRU;ti"" LII>�NyLAW fNFC?I€MATIt3N'
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not 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.
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.
ignature of Own r/Lessee/Contra g as Agent for Owner Signature of Contractor/License Hold
STATE OF FLORIDA (31— kCAt STATE OF FLORIDA
COUNTY OF
lv�l COUNTY OF
T�i
(or affirmed)and subscribed before me of S or to(or affirmed)and subscribed before me of
sical Pres r Online Notarization sical Pres ceor Online Notarization
day of —,202a by this day of 2021 by
Name of person making statement. I4ame of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) Taylor O'Brien (Signature of Notary Public-State of Floridji)[1yq Taylor O'Brier
gyVAIRY4&0�NOTARYPUBLIC �� ad o`NOTARY PU LCommission No. o� STATE OF.FLOR D&mmission No. STATE OF F IDA
Comm#GG9589 9 W =Comm#GG95 BE 9
ONCE S ; axpu05 2117 2 24
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20