HomeMy WebLinkAboutApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
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
PROPQSED IMPROVEMENT LOCATION:
Address: 8800 S OCEAN DR 1203
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM II UNIT 1203
Property Tax ID #: 3535-603-0107-000-3
Site Plan Name:
Project Name: Berardesco
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
I Install 3 accordion shutters
Right Side:
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional worK to Depertormed under
C�HVAC Gas Tank
tis permit —ciec
[:]Gas Piping
a appy:
Shutters
Windows/Doors
Electric 0 Plumbing
[]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
El
Cost of Construction: $
Utilities:Sewer
Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Joseph Berardesco
Name: Michael Heissenberg
Address:8800 S Ocean DR Apt 1203
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-618-0584
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 required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: = Not Applicable
Name: Tilteco
Address: 6355 Nw 36th st. sune 305
City: virginis Gardens State: FL
Zip: 33166 Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
20
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
Wrn4 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 sl was
COUNTY OF sc wea
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _L day of �Ct . . 202L by
this I day of OU- , 20,21 by
Michael Helssenberg
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
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(Signature of Notary Public- State of Flori4danon O'Shea
(Signature of Notary Public- State of Florida I
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Sharon O'Shea
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Commission No.ccz66o3e NOTARY PUBLI
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