HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONs�
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED %�
Date: 12 • )g SCANNED Permit Number: ` O
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St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services JUN 12 2018
Building and Code Regulation Division ST, Lucie coo
2300 Virginia Avenue, Fort Pierce FL 34982 nty, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
hPROPOSED.IMPROVEMENT-LOCATIONS<r•.' .. "" :" ;' !
Address: 10680 S Ocean Dr -4 1()D4
Legal Description: ISLAND CREST CONDOMINIUM UNIT 1004 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0101-000-3
Site Plan Name:
Project Name: Olson
Setbacks Front Back: x
Install 1 Accordion shutter
Right Side: Left Side:.
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Lot No.
Block No.
d
CbNSTRVCTION INFORMATION:
r 4
A00itional work to be Perrormea unaertnisi)ermit—chic511tatai3DlV':-
11HVAC Li Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,048.00
Piping ZShutters ❑'Windows/Doors
nklers Generator Roof = Roof pitch
S Ft. of First Floor: _
Utilities:[]Sewer Eheptic
Building Height:
OWNER/LESSEES ;CONTRACTOR:
X iXa
Name David Olson & Mary Boland -Olson
Name: Michael Heissenberg
Address:20700 N Landmark Lane
Company: Expert Shutter Services
City: Barrington State: IL
Zip Code: 60010 Fax:
Phone No.847-571-8945
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 $2500 or more, a RECORDED Notice of Commencement is required.
I
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteminc. Name:
Address: 6365 NW 36th St Suite 30e Address:
City: VirginiaGardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: I 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 Court 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 reciaMine vctur Notice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF a& liar COUNTY OF—, t ,Ark
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Ldayof ,AAnf_ 201�by this_�dayof_i)llYli_ 20 �by
Michael Heissenb&g Michael Hsasenberg
(Name of person acknowledging) (Name of person acknowledging)
-Wig'nature ofDin
nary P`ufilic- State of Florida ) �ighature of yziry Public- State of Florida )
Personally I //OR Produced Identification Personally Known J OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. S`d 1U i &Qh Short Commission No. ) U ��1„S,.r ($gclgn Short
�00-NOTARYPUBLIC ;nIN, V NOTARYPUBLIC
Revised 07/15/2014 ysi }0=Comm#GG148342 r= Comm#GG148342
CF 19 Expires 5/25/2021 Expires 5/25/2021
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