HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_LP-12- I SCANNED Permit Number:
BY St. Lucie County RECEIVED
Building Permit Application JUN 12 2018
Planning and Development Services
Building and Code Regulation Division S T Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
I PERMIT APPLICATION FOR: Shutter III
11-PROPOSED IMPROVEMENT LOCATION:,," 41
Address: 9940 S Ocean Dr #210
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 210 AND.8625 PERCENT INT IN COMMON ELEMENTS
Property Tax ID it: 4502-502-0027-000-9
Site Plan Name:
Project Name: John Marchin
Setbacks Front Back: x
Install I Accordion Shutter
Right Side: Left Side:
Lot No.
Block No.
1,CONST'RLFQTIONJNFbR� �001\1-.�
AdditionalworKtoDenerrormea unclerthis
E1HV/ Gas Tank
permit — cneCK
EGas Piping
all apply:
2 Shutters
11 Windows/Doors
❑ Electric ❑ Plumbing
[]Sprinklers
FIGenerator
E]Roof ❑ Roof pitch
Total Sq. Ft of Construction:
13*
S Ft of First Floor:
Cost of Construction:$ 1,077.00
utilities: Ll Sewer 0 Septic
Building Height:
`QWNER/LIESSE'E-7'-A
CONTRACTOR" -
Name John Marchin
Name: Michael Heissenberg
Address: 8178 Anchor Bay Dr
Company: Expert Shutter Services
City: Clay State:M1
Zip Code: 48001 Fax:
Phone No. 586-530-0795
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 at construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRbCTION LIEN LAW INF.ORMATIOM
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecalne.
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
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 attorney before
commencing work or -recording vour Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agentf& Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF1— LA _I C, i e
S
COUNTY OF_�j�_
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 11day of 31, I 2011by
this U day of 20 y$1L by
Michael Helssenuelg
Michael Hsissenberg
(Name of person acknowledging)
r
(Name of person acknowledging)
Signature of o ary Public- State of Florida)
ignature of o ary Public- State of Florida )
Personally Known ✓/ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission NoC�-r1473UZ (Seal)
Commission No(IC-iIUR'3L-IZ (Seal)
Nx' gap . is-ei n onort
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aT °., NOTARYPUBLIC °g NOTARYPUBLIC
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