HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S J Permit Number: 11 O S-o's
;<
115 • RECEI`y'�D MAY 2� 101T
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
-PROPOSED INIPROVEIVIENT LUGATION
Address: 9940 S Ocean Dr Apt 906
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 906
Property Tax ID #: 4502-502-0093-000-2 Lot No._
Site Plan Name: Wayne K Lacks Block No.
Proiect Name:
Setbacks Front Back: Right Side: Left Side:
pETAILED DESCRIPTION. .OF WORK °
Install 2 Accordion Shutters
CONSTRUCTION INFCORMATIQN
Additional work to e e orme under this permit — check
11HVAC E] Gas Tank ❑Gas Piping
a
apply:
Shutters
Q Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 2887.00
Utilities:
Sewer I
Septic
Building Height: 110'
OWNER/LESSEE'
<CONTRACTOR
Name Wayne K Lacks
Name: Michael Heissenberg
Address: 9940 S Ocean Dr Apt 906
Company: Expert Shutters
City: Jensen Beach State: FL
Address: 668 SW Whitmore
City: Port St Lucie State: FL
Zip Code: 34957 Fax:
Phone No. 239-776-4180
Zip Code: 34984 Fax:
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 regwrea.
DESIGNER/ENGINEER:
Name: WalterTilrit
Add ress: 6355 NW 36th St
City: Virginia Gardens
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
X Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 inssp If you inten to obtain financing, consult with len r or an attorney b fore
commencing wcfk or re in your lice of Commencement. ���
_ Signature of Owner[Lessee/Agent
STATE OF FLORIDA ' L v p STATE OF FLORIDA L/�
COUNTY OF � 1. LU C, I4C COUNTY OF � I �
The fQQr.��,oing instrument was acknowledged before me
this day of Q 20 Eby
Michael Heissenberg
(Name of person acknowledging )
CVA�"
(Signature of Not P blic- State of F o i
Personally Known OR Produced Identification
Type of Identification Pr�oducedjj
Commission No� ) / �0� (Seal)
HEATHER VIZZO
=STATE OF FLORIDA
Revised 07/ 15/2014 Comm# FF176266
_--w-e—orki 4 4/4'21qn4 Q
The forToing instrument was acknowledged before me
this _Jb�day of 20 la by
Michael Heissenberg
(Name of person acknowledgingq L--3— —
)
(�
(Signature of Notary7OR
State of Florida
Personally Known Produced Identification
Type of Identification Produced
Commission NoA_+ i ) 6 c& WXA4 (S�Fd THEIR VIZZO
aWIrWI
NO ARY PUBLIC
a STATE OF FLORIDA
Expires 11/13/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
INITIALS