HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
1 - 1;
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:- `G Permit Number: I1 —I Oq3
7'r 3 � Q
RECEIVED JUL 0 6 2017
-- SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
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 I
Address: 9940 S OCEAN DR 301
Legal Descriotion: OCEANA OCEANFRONT CONDOMINIUM ONE APT 301 AND .8625 PERCENT INT
IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0028-000-6
Site Plan Name:
Project Name: DISON
Setbacks Front Back: X Right Side: Left Side:
INSTALL 3 ACCORDIAN SHUTTERS
1:1HVAC Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7,207.00
Lot No.
Block No.
nu—u,ecK nu appry:
Piping _Shutters ❑Windows/Doors
nklers Generator El Roof Roof pitch
S Ft. of First Floor: _
UtilitiesSewer Septic
Building Height:
YONEl`ESSEE: s >, TMw
x 7S_ xFr m-,a�.mir ids .ixs?� a
GOTRAGTOR yr
,o-
Name Joan R Dison
Name: Michael Heissenberg
Address:175 LAKE VALLEY RD
Company: Expert Shutter Services .
City: HENDERSONVILE State:TN
Zip Code:. 37075 Fax:
Phone No. 631-602-7708
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
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.
DESIGNER/ENGINEER:
Name: nitemine.
_ Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: Ssss Nw aed, St suite sgs
Address:
City: Virginia Gardens
Zip:33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
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 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 an attorney before
commencing wor or reco iDR--your Notice of Commencement. � /� //
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,� l [9 e- COUNTY OF .S1- l_e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -�!2day of, 1Ly 20171 by this-3 dayof L 1_ 20 n by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
Signature ofUn
ary Publiy-State of Florida) (Sign t Pe of No ary ublic- State of Florida )
Personally Kn ✓/ OR Produced Identification Personally Know OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No Halai9h Russell Commission No tQWY PUBLIC
NOTARY PUBLIC STATE OF FLORIOA
STATE OF FLOR DA Comrnfl GG
qla t0fires 5/25/2021
-Revised 07/15/2014 — - Expires 5/25/2022021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS