HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: I I 1 vi �ol fffi
BYn-.
St. Lucie County '
Building Permit Application DEC 11 '
Planning and Development Services
017
Building and Code Regulation Division PER411T ING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie coun
Residential
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X t: FL
PERMIT APPLICATION FOR Shutter
PROP,OSE'D IMPf20VEMENT
Address: 9940 S Ocean Or#709
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 709 AND .7875 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0076-000-7
Site Plan Name:
Project Name: Klein
Setbacks Front Back: X
Install 1 Accordion Shutters
11HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ �l I U `4
Lot No.
Block No.
Right Side:
Left Side:
.,
yr.
mIt —c ec an
apply:
s Piping
Shutters
Windows/Doors
rinklers
Generator
Roof =
Roof pitch
SQt �Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNERfLESEE £`"CO
TfiAGTOR .t.,
Name Joyce Klein
Name: Michael Heissenberg
Address:3868 SE Old Saint Lucie Blvd
Company: Expert Shutter Services
City: Stuart State: FL
Zip Code: 34996 Fax:
Phone No.772-678-6183.
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
11 VtlIUV YI wn]uucuull ID ?4auu or more, a ncwnuCu nonce or r.dmmencement is required.
SUPLM€NTAL CONSTRUCTION
LIEN IAW INFORMATION
k_ .`. r
DESIGNER/ENGINEER: _
Name: rltecolnc.
Not Applicable
MORTGAGE COMPANY: x
Name:
Not Applicable
Address: 6355 NW 361h St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X
Name:
Not Applicable
BONDING COMPANY: _Not
Name:
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 inspection. If you intend o obtain financing, consult with lender or an attorn before
commencing work -of rec djn"our 116tice of Commencement. 1___N n
STATE OF FLORIDA STATE OF FLORIDA v
COUNTY OF 17—�F- Ll Af i e COUNTY OF L_.,t r -C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this A�E2 day of I\Y)\Ji2. L1oCN20 �' y this 13 day of NQJ Gm.bfU20 n by
Michael HelssenbiM Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
R!2_A� ,r lai=ica 5aA -
(Signature ofNetary Public -State of Florida) (Signature of N a Public- State of Florida )
Personally Known `� OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Haleigh Short .G
Commission No(f_1 7 IL49-3y Commission NoGILI$3LI2 (Seal)
_ NOTARY PUBLI �pR q Haleigh Short
STATE OF FLOR DA aas's ..__-_.. .......
Revised 07/15/2014
Expires 5/26/2021
Comm# GG148342
J JIGJ/LVL 1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
C