HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
ViFeelveD
Building Permit Application AUG W1
Planning and Development Services St. LUCIS 00unry
Building and Code Regulation Division permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter i
Address: 9900 S OCEAN DR 201
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 201 AND UND SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-503-0015-000-5 I Lot No.
Site Plan Name: Block No.
Project Name: Giudice
Setbacks Front Back: X Right Side: X Left Side: I
Install 3 accordion shutters
1ditional work to ne errormed
DHVAC E] Gas Tank
under this permit —check all
❑Gas Piping
apply:
Shutters
Q Windows/Doors
11
Electric
0
Plumbing
Sprinklers
0
Generator
0
Roof
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,754.00
S . Ft. I of First Floor: I
Utilities: _ Sewer Septic (Building Height:
OWNER%LESSEE t f a
CpNTRACTpR '�>;*'
� . �
Name Melissa Giudice
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
Address: 17 Holly ST
City: Yonkers State: NY
Zip Code: 10704 Fax:
City: Port Saint Lucie
State: FL
Phone No. 718-614-0703
Zip Code: 34984 Fax: 772-871-0990
E-Mail:
Phone No. 772-871-1915 i
E-Mail: Callexpert@aol.coIT
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: 1'6572
I
IT value oT construction is UbUU or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Tiltecolno.
Name:
Address: I
City: I State:
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
Zip: Phone:
I
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 vour Notice of Commencement.
Signature of Owner/Lessee/Contracts Agent for Owner Signature of Contractor
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me I The forgoing instrument was acknoedged before me
this "i day of 204—by this � day of I 20 A by
I
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
&Lqz D' YID
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
ano
Commission No.°1 JJPTARY PUBLIC
STATE OF FLORID,
Cnmm# GG258038
Personally Known x OR Pro
Type of Identification Produced_
Commission
Identification
,Phanon O'Shea
NOTARY PUBLIC
Revised 07/15/2014 'MM M10 Expires 9I1Z1Gucc I Comm# GG258038
sE gie Expires 9/12/2022
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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I REVIEW
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DATE
COMPLETE
INITIALS
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