HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: Permit Number: �„f 0�- V7�
Building Permit Application FIECEIVED
Planning and Development Services
Building and Code Regulation Division AUG 1 g ZQ��
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resid%ptigLgou W
PERMIT APPLICATION FOR: Shutter
Address: 9490 S OCEAN DR 209
Legal Description: OCEAN TOWERS CONDOMINIUM A- UNIT209 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 3535-701-0008-000-0
Site Plan Name:
Project Name: Derosso
Setbacks Front Back:
Install 1 accordion shutter
Right Side:
Left Side: X
Lot No.
Block No.
Aaaltlonal worK to oe errormea under tnis permit— cnecK all apply:
0HVAC 0 Gas Tank []Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,131.00 Utilities: 0Sewer 11 Septic Building Height:
ti/I�ER€SSEE�Ts f
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. CONTRACTOR
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Name Daniel J Derosso
Name: Michael Heissenberg
Address: 32 Briarcliff Rd
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
City: Shoreham State: NY
Zip Code: 11786 Fax:
Phone No. 631-786-9517
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SIIPE'LIVIENTALtUSR�UC% CIi�LiE LAVyV INFIi�MA
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DESIGNER/ENGINEER:
Name: Tiltecclnc.
_ Not Applicable
MORTGAGE COMPANY:—
Name:
Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip:331fi6 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Not Applicable
Address:
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 recordiniz vour Notice of Commencement.
01
Signature of OwFer/L!e'ssee/Cont P11
as Agent for Owner Signature of Contra
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this -D-- day of c llVlf 20 t&by
Michael Heissenberg
(Name of person acknowledging)
6C��
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
61-
Commission N )I ZIZI,16 SGMW
esomoo #wwo0 it N.
STATE OF FLORIDA
CO U NTY OF St. Lucie
The f�going instrument was acknowledged before me
this'/_day of n)IAJQ20Q by
Michael Heissenberg
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced �C I(�
Commission No l�J U� / z E084ZJ�j' W03
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Revised 07/15/2014 oile 1d AHVION Wi a 884S,0 uoueyg _*Pffo
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