HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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St. Lucie County -'
Building Permit Application JUL p S 20V
Planning and Development Services PEREA1171NIG
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 9900 S OCEAN DR 1003
Legal Description: OCE:ANA OCEANFRONT CONDOMINIUM II- UNIT 1003 AND UND SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-503-0097-000-3 Lot No.
Site Plan Name: Block No.
Project Name: TROVATO
Setbacks Front X Back: X Right Side: Left Side:
61
INSTALL 3 ACCORDIAN SHUTTERS
rtiona wor to e e orme un ert apermrt—c ec a appy:
�HVAC � Gas Tank ❑Gas Piping �_ Shutters � Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of of First Floor:
Cost of Construction: $ 3,516.00 Utilities: LJSewer 05eptic Building Height:
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Name MARIE TROVATO
Name: Michael Heissenberg
Address: 9960 S Ocean DR Apt 1003
Company: Expert Shutter Services
City: JENSEN BEACH State: FL
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34957 Fax:
Phone No. 772-237-4899
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)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: —
Not Applicable
MORTGAGE COMPANY:
>_ Not Applicable
Name: Tiltemina
Name:
Address: 6355 NW36th St Suite 305
Address:
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:
1 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 t9� obtain financing, consult with lender or an attorney before
commencing work o reco inRNour Notice of Commencement. /
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,S j' ( 1 jd if COUNTY OF � loa JC A-C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this —aday of .�\ I (�_ 20 U—by this day of 20 by
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
Signature of o ary Publi -State of Florida) (Si nature of of Public- State of Florida)
Personally Known 7OR Produced Identification Personally Kno V OR Produced Identification
Type of Identification Produced Type of Identification� Produced
Commission No I NslithRussell CommissionNoi�l��dD�G% /(Seal)
NOTARY PUBLIC sleigh Russell
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NOTARY PUBLIC
Comity! G0108399 STATE OF FLORIDA
Revised 07/15/2014 Expires 6/25/2021 Comm* GG108399
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