HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� (� /
Date: SCANNED Permit Number:D ( -
BY
St. Lucie Count
Building Permit Application St �'�9oP 1°7&0
A
Planning and Development Services PCo�'ry
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter I
I,rnvrvacullyir,nV-vGIVICIVI LvlFl11tJ1Y - �I
Address: 9400 S Ocean Dr #407
Legal Description: OCEAN TOWERS CONDOMINIUM B- UNIT407 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 3535-702-0030-000-6
Site Plan Name:
Project Name: Block
Setbacks Front Back: x
DETAILECS D'ESGRIPTION-OF WO
Install 2 Accordion Shutters
Right Side:
_,
Left Side:
CONSTRUCTION INFORMATION;
L®IHVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,052.00
unaerthispermit—check all apply:
Gas Piping Shutters
!rs 0 Generator
SC7�- -F--t.1 of First Floor: _
Utilities:nSewer Septic
Lot No.
Block No.
❑ Windows/Doors
Roof = Roof pitch
Building Height:
°OWNER/LESS`EE' .,
CONTRACTOR:
Name Eric Block
Name: Michael Heissenberg
Address: 9400 S Ocean Cr #407
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.203-264-3567
Address: 668 SW Whitmore or
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
n vame or construction Is p&suu or more, a ntcokutU Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
m- LIEN LAW INFQRMATION.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecolnc.
MORTGAGE COMPANY: X
Name:
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: = Not Applicable
Name:
BONDING COMPANY: _Not
Name:
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 isin 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 inspe If you intend;o obtain financing, consult with lender or an attorney before
commencing wor r recor 'rtgiour N ice of Commencement. fl //
4� M_ s
Signature of Owner/Less a/Contractor as Agent Owner
-
Signa re of Contractor/Licens Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF`? Lk16-c
COUNTYOF laACi-P
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisadayofsM�S.A 20 J%by
this,Ei>dayof k1U.'A% .20 L%_by
Michael Helssenb4rg
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of o ary Public- State of Florida)
(ignature of of ry Public- State of Florida j
Personally Known ✓/ OR Produced Identification
Personally Known / OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission (Seal)
Commission No.C.,Gn14Z�4 y (Sal
pSARYqGo nalelgu onolr
0 w
r� o lgh Short
r n NOTARYP
Nn
STATEOFFLORID/•�.- ?o CtATEOF FLORIDA
Revised07/15/2014 Comm#GG748342 �'�CFis�V
AFXm�GG148342
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS