HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / n
Date: SCANNED Permit Number: I �O I ' OaLI(,
BY
r -� 1 . ' St. Lucie County
w RECENED
Building Permit Application JUL_ll1 2018
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
PROPOSED IMPROVEMENT LOCATION:
Address: 9490 S Ocean Dr #311
Legal Description: Ocean Towers Condo A Unit 811 And Undiv Share In Common Elements
Property Tax ID #: 3535-701-0058-000-5
Site Plan Name:
Project Name: Jensen
Setbacks Front Back: x
Right Side: Left Side:
Lot No.
Block No.
1. DETAILED'DESCRIPTION'OF WORK
Install 4 Accordion Shutters
CONSTRUCQON INFORMATION:° '
M..,.,MriUrurcu uuuar uusperrnrt— cnecrcan apply
�HVAC _Gas Tank ❑Gas Piping �Shutters Windows/Doors
Electric OPlumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2,437.00 Utilities:CnSewer Septic Building Height:
'OWNER/LESSEE: `--
CONTRACTOR:
Name Monica Jensen
Name: Michael Heissenberg
Address: 9490 S Ocean Dr #811
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-678-9131
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 p[3uu or more, a imc.uicueu notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN I AW INF,O MATION
DESIGNER/ENGINEER: _
Name: Tlitecolnc.
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
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: X
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 inspection. f yoo *ntend tgobtain financing, consult with lend or a attorney ore
commencing work o _ cor rfe vbur Na Ce of Commenrement_ e 9
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S} 1 JG C COUNTY OF—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�adayof cIt >\T_ 20 aby this_Eadayof_20 by
Michael Heissenoerg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public -State of Florida) -Rignature of IC
ry Public- State of Florida )
Personally Known ✓/ OR Produced Identification Personally Known "/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 2tG-11n�2>2 (Seal) Commission No. '�jG-' glk�-z (Seal)
Revised 07/15/2014 " �ucuc o
g �STATEOFFLORIDA aSTATEOFFLORIDA
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