HomeMy WebLinkAboutApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1. J
A
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
PRO PSED IMPROVEMENT LOCATION:
Address: 10310 S OCEAN DR 305
Legal Description: OCEANRISE CONDOMINIUM APT 305 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-515-0023-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Silver
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 2 accordion shutters
CONSTRUCTION "INFORMATION:
Additional work to e e orme under
tispermit—checka
apply:
0HW 11GasTank
Gas Piping
_Shutters
0 Windows/Doors
11 Electric El Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
SqI FFtt.� of First Floor:
Cost of Construction: $ 1,161.00
Utilities: Sewer Septic
Building Height:
O W N ERAESSEE_
CONTRACTOR:
Name Jeffrey Silver
Name: Michael Heissenberg
Address: 6468 Kirsten Way
Company: Expert Shutter Services
City: Lake Worth State:FIL
Zip Code: 33467 Fax:
Phone No.561-350-9400
Address: 668 SW Whitmore Or
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: = Not Applicable
Name: Tilteco Name:
Address: 6355 NW 361h St. suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF fit. Lune
COUNTY OF -St. Lucia
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _A_day of _OCt 202L by
this 1 dayof OCR- 20,21 by
Michael Heissenberg
Michael Heissenberg
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
&Wlu)t o 1 Q,QA—
%o I ttzk
(Signature of Notary Public- State of FloriVanon O'Shea
(Signature of Notary Public -State of Florida j
otp A
O ARY PUBLIC
�aR A Sharon O'Shea
Commission No. GG258038
E OF FLORIDA
Commission No. GG258038 NOTARY PUBLI
�!
o c
r STATE OF FLO
? Comm# GG258038
i 58
WE ts` Expi
res 9/12/2022
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EAtP�GROVE
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19