HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: CVl Permit Number:Z lKl - 20
RECEIVED
• OCTa 17021
Building Permit Application
Permitting Department
Planning and Development Services St. Lucie county
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
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Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED I'N[I�RVEl1ETACATIC1� ;
Address:
9940 S OCEAN DR 861
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 801 AND.8625 PERCENT INT IN COMMON ELEMENTS(OR 3856-1925)
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Property Tax ID#: 4502-502-0078-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Glessner j
Setbacks Front ;Back: Right Side: X Left Side:
Install 1 accordion shutter;
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..> er,.2 #^-�: '...'+b. �+ R "�LSjS�.xh' ..d" PEA '
Adcl)tional work to bfIrtormecl unclertnispermit—check all apply:
❑HVACGas Tank Gas Piping Shutters Windows/Doors
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Electric 0 Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: i S Ft.of First Floor: '
1,207.00
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Cost of Construction:$ Utilities: _Sewer Septic Building Height: j
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Name Mark Glessner Name: Michael Heissenberg
Address:845 Anthony Dr Company: Expert Shutter Services j
City: Mechanicsburg State:PA Address: 668 SW Whitmore Dr
Zip Code: 17050 Fax: City: Port Saint Lucie State:FL
Phone No.717-439-6398 Zip Code: 34984 Fax: 772-871-0990 II
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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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sSPLEINT1L�C{ S�TRCi"IUN L N�0; *"�MTIIO�Nf � Off
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteco Inc. Name: I_
Address:6355 NW 36th St Suite 305 Address:
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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: 1
Address: Address: -
City: City: l
Zip: Phone: Zip: Phone: I
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 I
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(,,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 �arney
n the jo site
before the first inspection f you intend o obtain financing, consult with lend e an bef e
commencingwork/or r cor our Notice of Commencement. s
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Signature of Owner/Less"/Contractor as gent r Owner Signatu o Contract /License older 1.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucia
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 `�by thig,� / day of`�9� ,20.2E by
Michael Heissenbkg I Michael Heissenberg
(Name of person acknowledging)', (Name of person acknowledging)
(Signature of Notary Public-States of Florida) (Signature of Notary Public-State of Florida) i
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
y Shanon O'Shea
s Shanon O'She <' o NOTARY PUBLI Commission No. s Commission No Q ��
o NOTARY PUB IC
STATE OF FLO A
ESTATE OF FL RIDA ?. o r
1$ Comm#GG258038 "'RE 1"S" Expires 9/12/2 2
Revised 07/15/2014 NFE 1s Expires 9/12/2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS