HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,t . n
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDq
Date: SCANNED Permit Number: � �XJ� ' D 0
BY
S. Lucie CountyRECEIVED
t
I i
Building Permit Application JON,n 5 7019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
Address: 9940 S Ocean DR
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 406 AND .7120 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0043-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Forest
Setbacks Front Back: x Right Side: Left Side:
Install 1 accordion shutters
e errormea unaercrospermit — a
Gas Tank ❑Gas Piping
0 Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,046.00
Shutters Windows/Doors
Generator El Roof = Roof pitch
S Ft. of First Floor: _
Utilities:cn Sewer []Septic
Building Height:
4O1AtNER/LESSEE;«' ". 4' 4: $-?' i
Gt7N CRAG7OR°
Name Clifford & Barbara Forest
Name: Michael Heissenberg
-Address: 326 NE Camelot Or
Company: Expert Shutter Services
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 772-344-6453
Address: 668 SW Whitmore Dr
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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 vaiue or conscrucaon is o&,uu or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecolnc.
MORTGAGE COMPANY: x Not Applicable
Name:
Ad d ress: 6355 NW 36th St su0e 305
Address:
City: Virginia Gardens. State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: = 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 inspectiori.,If you intenc;y'tto obtain financing, consult with lender or an attorney before
' commencing work or r cor ¢ our Nfitice of Commencement. 1-7
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as
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY 0F,,`* k uGp 2 I COUNTY OF 5� \ A 1 Ca 2
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged pbefore me
this�ay of 20�by this day of , 20 Vu by
Michael Heissenblirg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
State of Florida
Personally Known " OR Produced Identification
Type of Identification Produced
,,ARY rlale,gh Short
Commission NoGG M, 3t)IOTARYPUBLIC
STATE OF FLORIC
Revised 07/15/2014
Expires 5/2512021
(8ignature of fary Public- State of Florida )
Personally Known IV OR Produced Identification
Type of Identification Produced
Commission Nav'�—I(� pkr(S p4Ah Short IC
z
= Comm# GO148342
s E 19�a Expires 5/25/2091
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