HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11T �� Permit Number: r
SCANNED REC
BY
St Lucie County APR 2 6 2018
Building Permit Applicatio
Planning and Development Services ST. Lucie County, P®rmitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4.62-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IIVIPR011EMENT LOCATI(}I
Address: iuuou o ocean urin-i-i
Legal Description: Ocean Dunes Condominium Unit 611
Property Tax ID #: 4512-702-0020-000-5 Lot No.
Site Plan Name: Block No.
Project Name: DeSantis
Setbacks Front Back: x Right Side: Left Side:
DETAILED DESCRIP?ION OF WC3RK k ' x
Install 1 roll shutter
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,051.00
CSprinklers ❑ Generator ❑ Roof Roof pitch
S Ft. of First Floor:
Utilities: oSewer Septic Building Height:
OUVN�R/LE5SEE t
�01 TRACI'(R
4iw
at-..
Name Ocean Dunes 611 LLC
Name: Michael Heissenberg
Address: 1540 St Andrews Dr
Company: Expert Shutter Services
City: Palm City State: FL
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State. FL
Zip Code: 34990 Fax:
Phone No. 772-285-0373
-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
State or County License: 16572
from the Owner listed above)
Iit value or construction is :>/Suu or more, a KtcoKL)tU Notice of Commencement is required.
j "15.00
SUPILE11tIENTAL CONaTRIICTION LIEN LAIN INFORMATIONS
x
U ,
DESIGNER/ENGINEER: Not Applicable
_
MORTGAGE COMPANY: x Not Applicable
Name: Tiltecc Inc.
Name:
JAddress:
Add ress: 6355 NW 36th St Suite 305
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 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 a attorn before
commencin work qy-r—e__c_or)ding your N6tice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agen f r Owner
Signature of Contractor/License Holder '
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFF- WC -P
COUNTY OF — LAA.Gt cf
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of W r-f 1 20 )aby
thisZ.,�L day of aQr� 20 1 by
Michael Heissenberg
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging)
•
P /
(Signature o)otary Public- State of Florida)
(S nature of UnryPubli - State of Florida )
70R
Personally Known vr/ OR Produced Identification
Personally Kno Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. G 1k4 ,� rl(rAq onon.
Commission No. ILL Seal)
AK►gs� �ateign
NOTARY PUBLIC
�p Short
x _TATI= OF El ORIDAor
°c� NOTARY Pi ipt
` = Comm# GG148342
o STATE OF FLORIDA
Revised 07/15/2014 `f�A�t�c 9�;1`a Expires 5/2512021
s�., 401n GG148342
f�XLYr �
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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INITIALS