HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4
ALL APPLICABLE
EI�INFO
pMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 p' ) Permit Nu
< R SCANNED BY RECEIVE®
®
Sldinug County
Buil �ermit App licatio APR 18 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 ' LuC,ie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x 2Ft-�a
PERMIT APPLICATION FOR: Shutter
PROPOSEUIMP_ROVEMENT LOCATION:
Address: 9490 S Ocean Dr#810
Legal Description: OCEAN TOWERS CONDOMINIUM A- UNIT810 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 3535-701-0057-000-8
Site Plan Name:
Project Name: Lee
Setbacks Front Back: X
Install 1 roll shutter
OHVAC u Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,186.00
Lot No.
Block No.
Right Side: Left Side:
nit — CneCKau ioai apply:
Piping �_ Shutters Windows/Doors
nklers Generator Roof = Roof pitch
S Ft. of First -Floor: _
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:''
CONTRACTOR:
Name Thomas Lee & Lauren Buono -Lee
Name: Michael Heissenberg
Address: 711 Glenview St
Company: Expert Shutter Services
City: Philadelphia State: PA
Zip Code: 19111 Fax:
Phone No.772-871-1915
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
it value or construction is y251.11) or more, a RECORDED Notice of Commencement is required.
'SUPC�LEM�N tbN5TRUGTItiN�L(EN`LAW INE( ftNIAiION'
DESIGNER/ENGINEER: _
Name: Tiitewine.
Not Applicable
MORTGAGE COMPANY:
Name:
— NotApplicable
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip:33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: =
Name:
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 inspecljou, If you intend tp obtain financing, consult with lender or an attorney before
commencine work or rc� eddik-vbur Na€ice of Commencement. i9
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � �.Ud C COUNTY OF I- 6--P=
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of jDdp l ll_ 20 lgi by this \\ day of Cl \ 20 S$ by
Michael Heissenbhrg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
((Signature-of(VGjary Public- tate of Florida) (lignature of NIo\ary Publ. State of Florida )
Personally Known OR Produced Identification Personally Known ✓/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
naeign Short
Commission NGC C-, I '\ Comm
ission No.a(�11q� -�'2 (Seal)
g o n N �tYPUBLIC lk 1` Hatelgh Short
o 4 �STATEOFFLORIDA
�4Gp� NO
cm R.
'STATEOFFLORIDA
Revised 07/15/2014 04019�$ Expires 5125/2021 s �"omm# GG148342
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
3
COMPLETE
INITIALS