HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI_v
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�
Date: SCANNED Permit Number: l lQ,- 0"
BY
t- x �- -' St. Lucie County
Building Permit Application DEC 19 �017
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 III
Address: 9940 S Ocean Dr #710
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 710 AND .8625 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0077-0004
Site Plan Name:
Project Name: Klein
Setbacks Front Back: X
Install 4 Accordion Shutters
�HVAC 11 Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 7,109.00
Lot No.
Block No.
Right Side: Left Side:
uenmL—cneCK do
apply:
Gas Piping
Shutters
Windows/Doors
Sprinklers
Generator
Roof = Roof pitch
5 FtFtj. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
=OWNER�LESSEE`, v
CONTRAt
Name Joyce Klein
Name: Michael Heissenberg
Address:9940 S Ocean Dr 709
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-678-6183.
Address: 668 SW Whitmore Or
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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
it value or construction is>2)DU or more, a RECORDED Notice of Commencement is required.
�ti
Name: Tiitecaine
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
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 io obtain financing, consult with le an an attorney before
commenclniz work or rer-nPdinp vnur Nrrftra of r'nmmnnromcr,f �l /1
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF} I,A ,LC" � e. COUNTY OF ' y
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this da''y11 of F�Y)J4p_M PiY 201aby this _It? day of QDQEYYLY 20 n by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
((Signature 00otary Public -State of Florida )
Personally Known - t//OR Produced Identification _
Type of Identification Produced
Commission No.GC-1IL-1$3g2- (Seal)
asar e.
Hleigh Short
�Pubrlc-�(Signature of ttate of Florida )
Personally Known �/ OR Produced Identification
Type of Identification Produced
Commission No.C-iG-i I L4 q Z (Seal)
�oZ. Haleigh Short
STATE cOF FLORIDA cd'1s _�=r-,aCTTEOFFLORIDA
Revised 07/15/2014 Comm#GG148342 GG148342Ro19.J°=Ft9F/9n9i ro
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