HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: SCANNED Permit Number: ! • ���
BY
z ' = St. Lucie County
Building Permit Application ltecevw
Planning and Development Services 1tA 2 U 1�18
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PetW,g Department
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential st-L'
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PERMIT APPLICATION FOR: Shutter
P,AOPOSEii_MPROVEMt.NTLOCATfONi
Address: 9940 S Ocean or #608
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 608 AND .7875 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0065-000-7
Site Plan Name:
Project Name: Batson
Setbacks Front Back: x
Right Side:
Left Side:
Lot No.
Block No.
1,:D.ETAILED. QESCRIPTIONsOF WORK , M
I Install 1 Accordion Shutter
t3NSTRUCTIONINFORfC9ATION.,
OHVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,046.00
permit — cnecKau apply:
Gas Piping 1Z Shutters
Sprinklers Generator
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
Windows/Doors
11 Roof = Roof pitch
Building Height:
OWNER/(ESSEE:, _; -
CONTRACTOR: X"
_
Name Robyn Batson
Name: Michael Heissenberg
Address: 3 Palmetto or
Company: Expert Shutter Services
City: Stuart State: FL
Zip Code: 34996 Fax:
Phone No. 954-553-1778
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
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tiltecolnc. Name:
Address: 6355 Nw 36m St Suite 30e Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
BONDING COMPANY:
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 inteppd to obtain financing, consult with lender or an attorney before
commencing work or rQcgrdingvoiNCpLotice of Commencement.
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF2::j—k A A C)i 0 COUNTY OFF6 I A k r-1 C
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this _V�day of ch KL., Arm 20 jS4by this may of A A � 20 \�/-- by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
Personally Known — ✓ OR Produced Identification
Type of Identification Produced
Commission No.(:SG(Seal)
,,,1N9y4e_ Haleigh Short
Revised 07/15/2014
of
Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. C-�7I Ll 2ot y(Sea%aleigh Short
lk.,�._ NOTARY PUBLIC
OF FLORID/
Comm# GG14B342
is
xpires 5125
2021��
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
7
COMPLETE
6
INITIALS