HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: 11ID -Oa9s
St. Lu a County
Building Permit Application DEC 9 1 ,
Planning and Development Services c017
Building and Code Regulation Division F -+G
'd,il-rIN
2300 Virginia Avenue, Fort Pierce FL 34982 St. LL c:ie LT-rIN l FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential -
PERMIT APPLICATION FOR: Shutter III
Address: 9940 S OCEAN DR 403
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 403 AND .7875 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0040-000-6
Site Plan Name:
Project Name: Harris
Setbacks Front Back: X
Install 1 Accordion Shutter
Right Side: LeftSide:
Lot No.
Block No.
CONSTRUCTIOWINFORMATION
I Iona I work to b e berformea un ert Is permit-c ec a app,y
�HVP Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Ilenerator E_] Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2.839.00
S Ft of of First Floor: _
Utilities: nSewer OSeptic
Building Height:
Name Shirley Harris
Name: Michael Heissenberg
Address: 9940 S Ocean Dr #403
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-229-5750
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Coder 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
•• .o.— 1�UV VI IIIUIC, a MCUUMUcu [Macke or uommencement rs required.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: TiltemInc.
Name:
Ad d ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X 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 Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflty ict 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 inteyid to obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF cj+ L,L 4Cj e COUNTY OF 2:,� l A 1 r 1 ?
Th for oing instrument was acknowledged before me
thiday oft,�.yVlVDCV-200-by
Michael Heissen4rg
(Name of person acknowledging )
V ✓
Personally Known
Type of Identification Prc
Commission No.c4a(
Revised 07/15/2014
State
OR Produced Identification
Haleigh Short
NOTARY PUP
The forgoing instrument was acknowledged before me
this 2L day of N-)D, }e_rA\0CY, 20 n by
Michael Hsissenberg
Name of person acknowledging)
l�
(Si nature of of ry Public -State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission NoCIC-11y d�-H
Comm# GG148342
Expires 5/25/2021
Haleigh Short
NOTARY PUBLIC
Comm# GG148342
Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW •
REVIEW
REVIEW
REVIEW
REVIEW
DATE
�`�
COMPLETE
INITIALS
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