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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q q Date: SCANNED Permit Number: , 8 OI' © �6 BY RECEIVED St. Lucie County Building Permit Application JAN A 1418 oe Planning and Development Services PerSt, Lucie CountyeM 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 Address: 9940 S Ocean or#410 Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 410 AND .B625 PERCENT INT IN COMMON ELEMENTS Property Tax ID #: 4502-502-0047-000-5 Site Plan Name: Project Name: Roesch Setbacks Front Back: X Install 1 accordion shutter Right Side: r inls Dermlt— HVAC L__jGas Tank UGasPiping Electric 0 Plumbing []Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 1,248.00 Lot No. Block No. Left Side: Shutters ❑Windows/Doors Generator 11 Roof = Roof pitch S Ft. of First Floor: _ Utilities:cn Sewer O Septic Building Height: OWNER%LESSEE ,` CCINTRAC"'OR ; Name Thomas & Patricia Roesch Name: Michael Heissenberg Address: 9940 S Ocean Dr #410 Company: Expert Shutter Services City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772-229-5534 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 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPIEMEN7AL CONSTRUCTION LIEN LAIN�NFOR,MA710N Frei h . m A DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: ritecainc. Name: Add ress: 6355 Hw 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 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 to obtain financing, consult with lender or an att7ey before commencine work or c co line vour Notice of Commencement. —� _ ��� STATE OF FLORIDA STATE OF FLORIDA COUNTY OF1S'r l t 1 C a�C I COUNTY OF Sy- l_ k L6-,e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of \O1r 20 1Qby this 3 day of 1Qflt Ouv� �„ 20 by Michael Heissen49 Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging) Personally Known v OR Produced Identification Type of Identification Produced Commission No.ChCslt-Ig'.JLi2 (Seal) Haleigh Short Revised07/15/2014 STATE OF FLORIDA WaComrtdl GG148342 (Signature of N vy Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No.CMG1I y ? Li 2P(Sep4leigh Short s NOTARY PUBLIC F FLORFB/ ..''� '=Comm#GG14B342 ` 19 E1g0 xpires512512021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS C40