HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr<�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED
Permit Number:
BY
1111111111bSt. Lucie County
go RECEEVED
Building Permit Application
NOV 0 L Planning and Development Services Y017
Building and Code Regulation Division -
PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential '
PERMIT APPLICATION FOR: Shutter
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Address: 9940 S Ocean Dr#508
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 508 AND .7875 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0055-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Lines
Setbacks Front Back: X Right Side: Left Side:
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Install 1 Accordion Shutter
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MUUItiona WU[K to e e orme un erthis permit—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: $ 3015.00 Utilities: L_I Sewer OSeptic Building Height:
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Name Bobby & Rachel Lines Name: Michael Heissenberg
Address:11150 SW Fox Brown Rd Company: Expert Shutter Services
City: Indiantown State:fl_ Address: 668 SW Whitmore Dr
Zip Code: 34956 Fax: City: Port Saint Lucie State: FL
—
Phone No. 561-722-7979 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
from the Owner listed above) State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU,PPLEMENTAI CONSTRUCTlO'I.GEN LAlt/ INFORMATI01
3 `
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tiltecoinc.
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:
_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 Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you interr}}� to obtain financing, consult with lender or an attorney before
commencing work or'rM-rcligR yourAotice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFE�- L l l_r� COUNTY OF `��1 C a -e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this —J-U day of f )C-haY-- - V 201i by this > U day of 20 1=l by
Michael Heissen4M Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
ry PubPc- State of Florida )
State of Florida )
V v
Personally Known OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.(%If-)) u Aar yl)Flaleigh Short Commission No. I h Short
c NOTARY PUBLIC NOTARY PUBLIC
+STATE OF FLORID g CTATC !1C FI nRl
Revised 07/15/2014 �/4MM° Expires 6/25/2021 1 iN a te�� Expires 5125/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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INITIALS