HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Awn I `�i Permit Number: ,i O's— o5ay
RECEIVED MAY 24 2017
Building Permit Application aLANNED
Planning and Development Services Big
Building and Code Regulation Division St. luciP CountV
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter -
PROP?t1M#�ROUEM>?NT LOCATJON
Address: 10980 S Ocean Dr Apt 511
Legal Description: OCEAN DUNES CONDOMINIUM UNIT 511
Property Tax ID #: 4512-702-0016-000-4 Lot No.1
Site Plan Name: John Ferretti Block No.
Project Name:
Setbacks Front Back: RightSide: Left Side:
�"
p
Install 1 Accordion Shutter
e' ::.°^:._ *y. M{'i M ae
CQ1+l5TRUCTQ#tiFQRIIikTIZ3N:;r :,,
rtiona wor to e e orme un ert ispermrt-c eCK all apply:
�HVAC Gas Tank Gas Piping Shutters ❑ Windows/Doors
Electric Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: S'C Ft. of First Floor:
Cost of Construction: $ 7015.00 utilities:Sewer D Septic Building Height: 70'
/C SSEi ; , ; .. ,'
Name John Ferretti
.GCrNTRAtCTCI '1 4 .: m , �. . °
Name: HMichael Heissenberg
Address:10980 S Ocean Dr Apt 511
Company: Expert Shutters
City: Jensen Beach State: FL
Address: 668 SW Whitmore
City: Port St Lucie State: FL
Zip Code: 34957 Fax:
Phone No.310_-991-9332
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
State or County License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL_CONSTRUCTION-LIEN'LAW
INFORM AT( aN:
.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:_
Not Applicable
Name: walterTiiiit
Name:
Add ress: 6355 NW 36m St
Address:
City: Virginia Gardens State: FL
City:
State:
Zip: 33168 Phone: 305-871-1530
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 Notic of Commencement must be recorded and posted on the jobsite
before the first insp�ertl�n. If intenXio obtain financing, consult with lender or an attorney byre
_ Signature of Owner/ Lessee/Agent V Signature Or Contractor
STATE OF FLORIDA / q STATE OF FLORIDA
COUNTY OF . LU l I C COUNTY OF
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisLdayof � 20 )> by this
�dme
ayof 1 1 a5 20 _Dby
Michael Heissenl4rg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging )
State of Fit
Personally Known N_ OR Produced Identification
Type of Identification Produced
Commission
"FATHER VIZZO
NOTARY PUBLIC
(Signature of Notary Pub 'c- State o /�F ' a I
wn Personally KnoOR Produced Identification
Type of Identification Produced
. T I ]
Commission No�w ,,,�RW5edJ1TATHER VIZZO
�CmFF178268V^ s�tOxpre11/Revised07/15/2014 Expires 018 y ,O
Expires 11/13/2018
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