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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: -Q RECEIVED Building Permit Application SEP 0 9 2021 Planning and Development Services St.Lucie County 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 1 firxw °P.':a' .wt 'c 4&.,"`s$t 4. ,o 'y �y8 '$usa'i 'a'h�.,2* "'4',yE, _�` + a..i ..E PR{ I?tQSE131R{?;uE LUCAT # � 4 °z�� � � �` ..,...„i...,.,-,✓ ,.,m z. N_ .. ..�'' ...._.,-a,s�.r.z, u^w U�„7..r. .rx%. .,,'�_.�.,.,. u�tu,< ,..b a. .kti„".,'�;� a� noW± F< � ``�'k ti? .jOn"'a,ter, � ea-, Address: 9900 S OCEAN DR 1304 Legal Description: OCEANA OCEANFRONT CONDOMINIUM II-UNIT 1304 AND UND SHARE IN COMMON ELEMENTS Property Tax ID#: 4502-503-0128-000-0 Lot No. Site Plan Name: Block No. Project Name: Pollock Setbacks Front Back: X', Right Side: Left Side: m u._p j, zr ..�,.,. :.�a s.,.,•,a"+ r�k,y z a z y 3.aar -�, � � a ✓ °� 4a� � �'*.* t �� Install 1 accordion shutter tNSTRUCTiN INFOR QN �� �� ' 3 � A itiona wor to e e orme un ert ispermit—c ec a appy: - _ �HVAC �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:$ 3,53900 Utilities:Sewer Septic Building Height: ©1tt/IiER�LESlr ` 8 n R K h ! �ikkia Name John Pollock Name: Michael Heissenberg Address:1514 Cliffside Ln Company: Expert Shutter Services City: Knoxville State:TN Address: 668 SW Whitmore Dr Zip Code: 37914 Fax: City: Port Saint Lucie State:FL Phone No.865-250-8830 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. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Tilteco Inc. Name: Address:6355 Nw 36th st suite 365 Address: City: Virginia Gardens State: FL City: State: Zip: 33166 Phone: Zip: Phone: 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 our Notice of Commencement. Signature of Owner/Lessee/Contracts Agent for Owner Signature of Contractor/License H er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St LuC1e COUNTY OF sc Lucie The forgoing instrume rit was acknowledged before me The forgoing instrument was acknowledged before me this �6 day-of 20a�_by this 20 day of 20al by Michael Heissen4g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) (� O/ �APA (Signature of Notary Public-State of Florida) .(Signature of Notary Public-State of Florida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced �� tARY& Shanon O'Sh a /� �otARyass OTARY PUBLIC Commission N NOTARY PU LQDmmission No VV Q I ��STATE OFF ORIDA TATE OF FLORID Comm#GG258038. Revised 07/15/2014 •ONCE 19�� Expires 9112/2022 ONCE le Expires 9/12/202- REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS