HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1'
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: a 11,41. 11 Permit Number:
RECEIV7D JUL 032017 SCANNED
BY
Building Permit Application St. Lucie County
Planning and Development Services
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
Address: 9940 S Ocean Dr #401
Legal Description: Oceana Oceanfront Condo One Apt 401 And .8625 Percent Int In Common Elements
Property Tax ID #: 4502-502-0038-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Murray
Setbacks Front Back: X Right Side: Left Side:
Install 3 Accordian Shutters
onaiworxcooe errormea unaercrosperma—ci
HVAC Gas Tank ❑Gas Piping
Electric 0 Plumbing Sprinklers
Total So. Ft of Construction: _
Cost of Construction: $ 7,207
ZShutters ❑Windows/Doors-
OGenerator Roof = Roof pitch
S Ft. of First Floor:
Utilities:CnSewer 11 Septic
Building Height:
Name Dennis Murray
Name: Michael Heissenberg
Address:371 Quarry Pond Ct
Company: Expert Shutter Services
City: Morchies
Zip Code: 11955 Fax: —
Phone No.—i�(_A
State: NY
Address: 668 SW Whitmore Dr
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
tia(ZZ
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.
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DESIGNER/ENGINEER: _ Not Applicable
Name—n ilkeeYh jy-y ,
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: S tom) "
Address:
City: State: f�T_
Zip:- CALI Phone:
City: State:
Zip: Phone -
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable .
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 interr),II to obtain financing, consult with lender or an attorney before
commencins work or racoc t a voup,Notice of Commencement. �1
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � ( A ICa-C COUNTY OF I A tr.-e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ZZ day of YIC 20C1by this Z,Zday ofJunrc 201^) by
MiNMael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature Votary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. 't Ci7 ��3�q Haleigh RussE
NOTARY PU2
cTATE OF FL
(Si nature of N ai Public- State of Florida )
Personally Known V OR Produced Identifipation
Type of Identification Produced
NoCiGlI0RZ>9Q (Seal)
_ Helelgh Russell
Revised 07/15/2014 •,e Explres 5/25/2021 STATE OF FLORIDA
CM"GG108399 —
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