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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr f ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: I,30) .Otqa' , ...- 3 BY i St. Lucie County - Building Permit Application RECEWED Planning and Development Services JAN 16 1019 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential'. Lucie county PERMIT APPLICATION FOR: Shutter ,:. Address: 9940 S Ocean or #1207 Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1207 AND .7575 PERCENT INTIN COMMON ELEMENTS Property Tax ID #: 4502-502-0124-000-9 Site Plan Name: Project Name: Kindler Setbacks Front Back: x Install 1 accordion shutter 11HVAC Gas Tank ❑Gas 11 Electric Plumbing ❑Spr Total Sq. Ft of Construction: Cost of Construction: $ 2,925.00 iit— cneCKau apply: Piping Shutters nklers Generator _ S Ft. of First Floor: _ UtilitiesSewer 0Septic Lot No. Block No. Windows/Doors Roof = Roof pitch Building Height: .OWNER/LESSEE: CONTRACTOR Name Frank Kindler Name: Michael Heissenberg Address:107 Saint Johns Church Road Company: Expert Shutter Services City: Camp Hill State: PA Zip Code: 17011 Fax: Phone No.772-871-1915 Address: 668 SW Whitmore or 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 value or construction is 525UU or more, a RECORDED Notice of Commencement is required. GNUS}71tt1CTdOt LiENFlA1+li lFt7RMA?iN� ;tlPIENTL DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: rlteminc. Name: Address: 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 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 len or an attorrley before commencinia work or recordin¢ voLWNotice of Commencement. ®® as Age/t for Owner I Signature STATE OFF RIDA STATE OF FLORIDA COUNTY OF� � A),CA-T COUNTY OF , k A -A C e The forgoing instrument waskno acwledged before me The forgoing instrument was acknowledged before me this Ja day of,)Orll..)(�) 20 J'�, by this 10 day of , AC& ICANr. 20 )v.R by Michael Heissenberg Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging ) (Signature of Wofary Public- State of Florida) (Signature of of ry Public State of Florida ) Personally Known `� OR Produced Identification Personally Kno v OR Produced Identification Type of Identification Produced Type of Identification Produced qq��"" Commission No.(-,G I �`3 all Haleigh Short Commission No. h Short C �) p ' (*MRYPUBLIC NOTARY PUBLIC STATE OF FLORIDA Revised 07/15/2014 sue` UOMIT9UU148342 "1111 " Expires 512512021 v''�E%r Expires 5/25/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS C�(%