HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �Permit Number: I ' Or y 3
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Building Per-r��,�`�ppllati 2ot8Planning and Development Services t)S y, permittin
Building and Code Regulation Division g
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter III
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Address: 10310 S Ocean Dr #303
Legal Description: OCEANRISE CONDOMINIUM APT 303 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-515-0021-000-5
Site Plan Name:
Project Name: DiRoma
Setbacks Front Back: x
Install 1 accordion shutters
�HVAC ❑ Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,289.00
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Right Side: Left Side:
Piping L]Shutters
nklers 1i Generator
_ S Ft. of First Floor: _
Utilities: Sewer ElSeptic
Lot No.
Block No.
Windows/Doors
11 Roof = Roof pitch
Building Height: I
OWIUER/LESSEE;
_. r
CONTRACTOR .
Name Sabeto & Genevieve DiRoma
Name: Michael Heissenberg
Address:10310 S Ocean #303 _ _
Company: Expert Shutter Services —
:City:: -Jensen Beach State: FL
Zip Code: 34957 Fax:
-Phone No. 860-861-3263
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
n WWI! or construction is >zouu or more, a Nu.uNutu Notice of commencement is required.
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DESIGNER/ENGINEER:
Name: Tiitecoinc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Ad dress; 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip; 33166 Phone:
State; FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
_Not 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 to obtain financing, consult with lender or an attorgey before
STATE OF FLQ►tIDA y STATE OF FLORIDA
COUNTYOF t. aC`aP COUNTYOF c- LIACa.e
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,j day of e Vl nF J1 i 20 -by this -)a day ofre Y CAA!!2=4 20 jaby
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
State of Florida )
ature pf Notary Publiy- State of Florida )
Personally Known OR Produced Identification Personally Krt'own OR Produced Identification
Type of Identification Produced Type of Identification Produced
CommissionNoC(aIt&aL- — (Seal --- CommissionNo.(�%�`tiS � CRY al)ialeighShort --
_ �go�a£s_ �aleigh Short �. NOTARYPUBLIC
_NOTARYPUBLIC aernrcncctnom
/15/2014-
Expires 5/2612021
Expires 5126/2021
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