HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONc
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7 /
Date: SCANNED Permit Number:BY
St. Lucie County
RECEIVE
Building Permit Application
Planning and Development Services AUG 2 3 2017
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
AR 7#3Q5I;fi M
i
MElVTLC}C.ATIO(V
fPR
Address: 10600 S OCEAN DR 902
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT902 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-517-0089-000-5
Site Plan Name:
Project Name: CAVANAGH
Setbacks Front X Back:
INSTALL 2 ACCORDIAN SHUTTERS
�HVAC Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1319.00
Right Side: Left Side:
na— cnecKau apply:
Piping Shutters
nklers Generator
S Ft. of First Floor: _
Utilities:Cn Sewer E]Septic
Lot No.
Block No.
Windows/Doors
11 Roof = Roof pitch
Building Height:
. 's ;m.m•. u... #,. � . s u�T
.' .y-. e... _zi a �'. �''
tR v.. _ ... n F..a,.... -§b "x.,, i. 'e v. ,:« . v. .-xl� 'v.. of '.
Name MARK CAVANAGH
Name: Michael Heissenberg
Address:10600 S OCEAN DR #902
Company: Expert Shutter Services
City: JENSEN BEACH
Zip Code: 34957 Fax:
Phone No.401-742-6935
State: FL
Address: 668 SW Whitmore or
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.
N
SUPPLEMENTAL CONSTRUC 1I ,N`L�EN�IAW INFORMATIH%[U::
...:
m.,a
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tiitecolne.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State; FL
City:
State:
Zip; 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
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 intgnd to obtain financing, consult with lender or an attorgey before
Signature
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF f 1— l �_(a COUNTY OF l -A-A (A i
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-AadayofftLJ' 20 ]lby this ]�:Jday of-Fh A()l I5 201%by
Michael Heissentki; Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Personally Known " OR Produced Identification
Type of Identification Produced
Commission No.(SeIo � al) Haleigh Russell
NOTARY PUBLIC
(SI nature of N t ry Public- State of Florida )
Personally Kno OR Produced Identification
Type of Identification Produced
Commission NoC�I ' , �D R elr R
Y PUBLIC
STATE OF FLORIDA
J �t� �
t� Expires 5/25/2021 ExDIrg2Revised07/15/2014 &2021 II
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS