HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
oao . Q 1
Date: Permit Number: I
_ Building Permit Application+
Planning and Development Services
FE3 Z022 1
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 IL ST, Lucia county, ?-r�I in9z
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X I Residential
t
PERMIT APPLICATION FOR: Shutter
PR£7Pt 5)=D`lM R b"E"'NT Lfl`C,AT °k f
Address: 9940 S Ocean Dr Apt 502
I 'I
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 502 ANDS.7875 PERCENT INT IN COMMON
ELEMENTS (OR 482-2780)
Property Tax ID#: 4502-502-0049-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Emerson I I
Setbacks Front.X Back: X Right Side: Left Side:
1 r a z a r-
�D r � Lo{�DE �I�T(o�
t
Ip
Install 3 accordion shutters
� I
I
I
CC? TRUCTIC}N 1NC7RNATF{7N
.u✓,pia x... _.. 1 . ...v:�w..Sa.- ,. ' 3[,.� ' � F
Additional work to be nertormed un er t is permit—check all apply:
❑HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing []Sprinklers ❑Generator) ❑ Roof Roof pitch
Total Sq. Ft of Construction: S n
4,664.00 of First Floor:
Cost of Construction:$ Utilities: —Sewer Septic Building Height:
� I
O1I1RLE$ �
,3'.vn.�.°w„rYri,.,,<, ,x ✓r.'��{��„ 'a'� ,�„� -� ..-.:„-: ' I i.. „o. -�. -,,c'^. .N :... .. .,> �.�. ,."''f;`,', d,.. ,.,ua��i`s„Sy>>Name Brenda Emerson Name: Michael Heissenberg
Address:9940 S Ocean Dr Apt 502 Company: Expert,Shutter Services
City: Jensen Beach State:FL Address: 668 SWIWhitmore Dr
Zip Code: 34957 Fax: City: Port Saint LuIcie State:FL
Phone No.772-229-9617 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
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
I
I �
I i
�.. � �M4' ,�
�SL�AI?t�EiUlE�1 �, 'C{�3NSTRt��TIO,N�Ll „��LAW INF��MATIOt"�¢ ._ �� A� �� ���4��,�....
d''� "s`:, �r� ,.r .� __
>a. >... s n,.,.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecolnc. Name:
Address:6355 NW 36th St Suite 305 Address:
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:
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 restrictionis 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:roo 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 blender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Age or Owner Signature of Contr ctor/License Hodder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF Pt.Lude CO U NTY OF St.Lucie,
The f•r ling instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Jan. 20by this day of /- ,20 by
i
Michael Heissenb,rg 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 Shanon O'Shaa Type of Identification Produced Shnnon ('Shea
a`0 85� NOTARY PUBLIC
A
NOTARY PUBLIC
Commission No. GG258038 a� S o%TATE OF FLORID Commission No. GG258038 �� TE OF FLORIDA
Comm#GG258038 a Comm#GG258038
I '
Revised 07/15/2014
I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I
i