HomeMy WebLinkAboutBUILDING PERMIT APPLICAATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 8' 13•;;) 1 Permit Number:
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RECEIVED
Building Permit Application
Planning and Development Services AUG 13 2021
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. PermLucia County
Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 9900 S OCEAN DR 602
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 602 AND UND SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-503-0056-000-4 Lot No.
Site Plan Name: Block No.
Project Name: D'Sa
Setbacks Front Back: X Right Side: Left Side:
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DTILED 1)EI�'fil OF1r'1%CRK /r
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Install 1 accordion shutters
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014TR�1C"1"Ib INFORMA�N ���,� ���vT• @A
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Additional work to Bee orme un er t is permit— check a apply:
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1]HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3,506.00 Utilities: Sewer Septic Building Height:
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Name Patrick D'Sa
Name: Michael Heissenberg
Address: 23143 L Ermitage CIR
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Boca Raton State: FL
Zip Code: 33433 Fax:
City: Port Saint Lucie State. FL
Phone No. 954-648-8282
Zip Code: 34984 Fax: 772-871-0990
E-Mail:
Phone No. 772-871-1915
E-Mail: Callexpert@aol.com
Fill in fee simple Title Holder on next page ( if different
State or County License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecolnc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 vour Notice of Commencement.
Signature of wn r/Lessee/Contractor Agent for Owner Signature of C-onti6actov
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The faor4oing instrurVen was acknowled a before me The forgoing instru ent was acknowledged before me
this I day of 20by this__ day of 20 -(Q—L by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
— &W&L m)AA p I ��
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced �%
'
Commission No. - JO
Revised 07/15/2014
Personally Known x OR Produced Identification
Type of Identification Produced
Shanon O'Shea ICommission
NOTARY PUBLI
;STATE OF FLO DA
Expires 911212022
on O'Shea
NO ARY PUBLIC
Gomm# GG258038
Expires 9/12/2022-
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