HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: 1-11 - ON -a
BY
a St. Lucie County RECF—iVED
Building Permit Application
Planning and Development Services DEC I q
12017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PERMITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residefitih3 cie county, FL
PERMIT APPLICATION FOR Shutter
PROPQSEDrIMPROUENIENT LOCATION °-> ; t
Address: 9940 S OCEAN DR 1208
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1208 AND .7875 PERCENT INTIN COMMON ELEMENTS
Property Tax ID q: 4502-502-0125-000-6
Site Plan Name:
Project Name: Wyman
Setbacks Front X Back: X
Install 3 Accordion Shutters
E1HVAC I l Gas Tank
11 Electric 0Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,815.00
Lot No.
Block No.
Right Side: Left Side:
nit — cneCKan
Piping
M apply:
Shutters ❑Windows/Doors
nklers
Generator EI
Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
Building Height:
OWNLESSEE x
Etf.
:CONTRACTOR
n77 4
Name Betty Wyman
Name: Michael Heissenberg
Address: 9940 S Ocean or Apt 1208
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.609-744-6135
Address: 668 SW Whitmore Dr
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
it vame or construction is >tsuu or more, a ntconDtD Notice or Commencement is required.
SUPPC MENTAL CONSTRllOTIO!V; IEN IAW INFORMATIQIU
k • w`
DESIGNER/ENGINEER: _
Name: Tiltecolnc.
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 6355NW 36th Sl SUite305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 inspec f you intend to obtain financing, consult with lender or an attorne before
commencing wor r recordMvour Notice of Commencement.
Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S{ J A t r - -iC I COUNTY OF G.+ LA—k r i P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -a day of_iVOVeM10 20nby this _0Lday off 1PM ,20>-_by
Michael HeissenbArg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
((Signature of No `
tary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. a.G 19 -0-4 o p;IV Seal}laleigh Short
n NOTARY PUBLIC
Revised 07/15/2014 34
a2 Comm# GG148342
WOE B1 Expires 5/25/2021
( ignature of o ry Public- Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No: na l(i C— (Seal)
�p1A� Haleigh Short
STATE OF FLORIDA
COmm# GG148342
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