HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONc
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %V SCABNNED Permit Number:A11111111111111
_ ui St. Lucie Count
Building Permit Application
Planning and Development Services JAN 3 0 2018
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 I
Address: 10310 S OCEAN DR 604
Legal Description: OCEANRISE CONDOMINIUM APT 604 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-515-0052-000-1
Site Plan Name:
Project Name: JORDAN
Setbacks Front Back: x
Right Side:
Left Side:
IDETAILED DESCRIPTION OF'WORK.
Install 3 accordion shutters
Lot No.
Block No.
£ONSTkUCTION,INFORMATION:
y
Additional work to be
nertormed un ert
ispermit—check
a
apply:
0HVAC
Gas Tank
Gas Piping
_Shutters
Windows/Doors
11 Electric
0 Plumbing
❑Sprinklers
E] Generator
❑ Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:
$ 1,979.00
Utilities:Sewer
OSeptic
Building Height:
OWNfRAESSEEt
CONTRACTOR:
`
Name James SJordan
Name: Michael Heissenberg
Address: 10310 S Ocean Dr #604
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 561-353-1386
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 52500 or more, a RECORDED Notice of Commencement is required.
;SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIONS r,
DESIGNER/ENGINEER: _ Not Applicable
Name: ritecaine.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 36th St Suite 305
Address:
City:yiirginiaGardens State: FL
Zip:33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 irltend to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA
COUNTY OF St Weis
The for oing instrument was acknowledged before me
this day of 12r�L� 20 t$ by
Michael Heissenbdrg
(Name of person acknowledging)
STATE OF FLORIDA
COUNTY OF St Wcis
The forgoing instrument was acknowledged before me
this aq day of )CZAn (,(Q y A 20 I� by
Michael Hsissenberg
(Name of person acknowledging)
(Signature o N tar Public -State of Florida) [(Signature of ' of ry
Personally K wn OR Produced Identification Personally Known
Type of Identification Produced Type of Identification
Commission No.t^ LQ0 dpt (Seala1�9 h Short Commission
_r_
Public- State of Florida )
_ OR Produced Identification
(Seal)
Haleigh Short
W o�tHItOFFLORIDA o oSTATE OFFLORIDA
Revised07/15/2014 s� a Comm#GG7gB3g1 ?Comm#GG748342
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SUPERVISOR
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VEGETATION
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DATE
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