HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q ' l 5' 2,) Permit Number: 2, 1 D I
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
pROPQSEQ 3)MPR01iEMENT LOCf)CN r fi,o,
Address: 9650 S OCEAN DR 508
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 508
Property Tax ID #. 4502-610-Ob48-000-4
Site Plan Name:
Project Name: Oxley
Setbacks Front Back: X
Install 1 accordion shutters
Right Side: Left Side:
Lot No.
Block No.
Additional work to be nertormed under this permit— check all apply:
11HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers liGenerator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 4,704.00 Utilities:Cn Sewer 0 Septic Building Height:
Cl;YX N LIti/ �
LONTRA4TiJRww xg 9x
Name Karen Oxley
Address: 9650 S OCEAN DR 508
Name: Michael Heissenberg
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 586-419-2412
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail: Callexpert@aol.com
State or County License: 16572
E-Mail:
Fill in fee simple Title Holder on next page ( if different
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: Tilteco Inc•
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
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 Own er/Lesgee/Contractor aso4ent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The fo oing instrurWnt was acknowledged before me
this day of & 20cQ4_by
Michael Heissen4g
(Name of person acknowledgingawk, )
D / %P"_
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No (Seal1I1NRY Shanon
�o qss
oQ��o NOTARY
The forgoing instrurpent as acknowledged before me
this _1� day of 20 il I by
Michael Heissenberg
(Name of person acknowledging)
aaqvL mo&
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
��ieimission No. �(�l) /otARY o Canon O'Shea
(VOTARY PUBLIC
UBLIC 3�0: ESTATE OF.FLORI
Revised 07/15/2014 ',r,� Comm# GG258038 s,,yc� Expires 9/12/2022
CE 19� Expires 9/12/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS