HomeMy WebLinkAboutBuilding Permit Application r � �
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Permit Number: a�� `";;3a A3
RECEIVED
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Building Permit Application NOV 15 2021
Planning and Development Services .St.Lupin 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
PRTOPOSEQItVl�R01lEMEIT LQCATICV }
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Address: 9400 S OCEAN DR 805
Legal Description: OCEAN TOWERS CONDOMINIUM B-UNIT805 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 3535-702-0060-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Maier
Setbacks Front X Back: Right Side: Left Side:
DETAILED DESCRIPTION C}F WORK 'A
Install 2 accordion shutters
CCNSTRUCTIC`}N INFQRM`ATIQN j `P„ +,# YID -
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Additionalwork to e e orme un er t is permit—c ec a apply:
�HVAC Ei Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric 0-Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1066.00 Utilities:Sewer Septic Building Height:
0111N ER/LE55EE TRACTOR ,
CON ` .
Name Joerg Maier Name: Michael Heissenberg
Address:9400 S Ocean DR Apt 805 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No.386-214-4277 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.
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EMT ALCGSTk �CTIt3 (VtRMAT�Q
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. .f:DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: lilteco lne. Name:
Address:6355 NW 38th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33188 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.
s
ignature of Owner/Lessee/Contract as Agent for Owner Signature of Contractor/License er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Si.Lucie COUNTY OF St.Lucia
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ka- day of W0VfM1 e,e 20;t�L_by this-ID day of W0,12/Y►10e( 20 a\by
Michael Heissenberg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(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
GG258038 )Shanon O'Shea GG258038 Ry ��°n O'Shea
Commission No. tpRy al Commission No. � �C7TARY PUBLIC
Q �, NOTARY PUBLIC o
STATE OF FLORID STATE OF FLORIDA
z Comm#GG25803 omm
Revised 07/15/2014 ONCE is Expires 9/12/2022 iN E 19�0 Expires 911212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS