HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� / /
Date: Permit Number: l7 O /. o 7 l !(j
Building Permit Application OI✓ANNED
Planning and Development Services BY
Building and Code Regulation Division 'it. Lucie Countv
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter III
Address: 9940 S OCEAN DR 702
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 702
Property Tax ID #:.4502-502-0069-000-5 Lot No.
Site Plan Name: Carolyn Weber Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 1 Accordion Shutter
I r-nKICZT1Z1 IrTinM IAII`-nRhAATInAI-i c _ � -. " ,i 'f s` 1z .. : -1
LJHVAC "Gas Tank
1-1 Electric L1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2658.00
Piping LJ Shutters ❑ Windows/Doors
nklers 11 Generator EiRoof
S Ft. of First Floor:
Utilities:SewerE]Septic Building Height:120'
Name Carolyn Weber
Name: Michael Heissenberg
Address: 9940 S Ocean Dr Apt 702
Company: Expert Shutters
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 516-375-7831
Address: 668 SW Whitmore
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
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.
iy
SUPPCMENMTAL CONST„FUCTiON. LIEN LAW INFORtv1AfION{°
„.
DESIGNER/ENGINEER: _ Not Applicable
Name: WalterTiilit
MORTGAGE COMPANY:—
Name:
Not Applicable
Add ress; 6355 NW 36th St
Address:
City: Virginia Gardens State: FL
Zip; 33168 Phone; 305-871-1530
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: , Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 Count
yy 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 osted on the jobsite
before the first insp to f you intenixo obtain financing, consult with lender n att mey�efore
commencing= wo ine vour.Xotice of Commencement. _ /l
_ Signature of Owner/ Lessee/Agent \ / SignatlTre of Contractor/License HolUer
STATE OF FLORIDA)-- Lu of STATE OF FLORIDA 5 l_ j u C'�
COUNTY OF COUNTY OF �J-7 L i
The for��ing instrument was acknowledged before me
this i t day of Old 20 L7 by
Michael
(Signature of Notary Pu lic- State of FI ri V
Personally Known OR Produced Identification
Type of Identification Produced
Commission No-. I I10 �OV�
The forgoing instrument was acknowledged before me
this �day of Ll 4 1 20 Lby
Michael Heissent erg
(Name of person acknowledging)
7
(Signature of Notaryy Puu is -State of o I )
Personally Known OR Produced Identification
Type of Identification Produced
HEATHER VIZZCj Commission ] / � D66
NOTARY PUBLIC
'�EATHER VIZZO
NOTARY PUBLIC
Revised 07/15/2014 yy 0` Cemm# FF176266 SSE"" ` L;omms rr i tutu-
NCF19 Expires 11/13/2018 s�2 P Expires 11/13/201
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