HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi — .,"'I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: /?V,� olga
BY
St. Lucie County
0 9
RECEIVED
Planning and Development Services Building Permit Application SEP 112016
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie count,/
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: -Shutter
Address: 10600 S Ocean Dr #507
Legal Description: OCEANA SOUTH CONDOMINIUM 11 UNIT507 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax lD#: 4511-517-0054-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Cirigliano
Setbacks Front Back: x Right Side: _ Left Side:
I Install I Accordion Shutter
[.qqNSTRUCTION,I!i4F0
RMATIOW -
i UMJL Wit JUI IJCU
i I HV U1 VVWJ M LV WMI Gas I Tank uiwiti tmb ptrril I L-cneCK a I I [7appty:
Electric Plumbing DGas P! ' - '10ii" Shutters Windows/Doors
OSprinklers Elenerator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ 3,078.00 Utilitiescn Sewer E]Septic Building Height:
_I- ?
N k.
1CONTRAqOR..
Name Peter And Mary Cirigliano
Name: Michael Heissenberg
Address:_198 South Shore or
Company: Expert Shulter Services
City: Wurtsboro State: NY
Zip Code: 12790 Fax: —
Phone No. 845-649-8023
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
I-- W. W6111MLJU�L1U11 13 4��UU U1 1311UP112, d MC�UKIJCIJ INUTICe Or LOmmencement is requirea.
ucalulmi;n/ mm"Iimccn; IN101 Applicaoie
MORTGAGE COMPANY: X
NotApplicable
Name: TillewInc.
Name:
Address:, 6355 NW36th St Sluite 305
Address:
City: Virginia Gardens - State: . FL
City:
State:
Zip: 33166 Phone:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: X NotApplicable
BONDING COMPANY: —Not
Applicable
Name:
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 CountK makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, lict 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 len" attorney b fore
commencing work or p0-c_o?I;1inp_vour Wice of Commencement. 7
STATE OF FLORIDA STATE OF FLOBIDA
COUNTY OFZptLLAAf COUNTY 01`_�'2)c I A Z C)
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this %C) day of ��)Z.CV_WXV 20 &by I this AQ— day of _CXJRkDD_VX),�20 IlA by
Michael Heissenb6 Michael Hsissenberg
(Name of person acknowledging (Name of person acknowledging)
of
Florida )
I \J
Personally Known OR Produced Identification
Type of Identification Produced
Commission NoGcrws 5L4 Z
of NotarA I�iblic- State of Florida )
Personally Known ��/ OR Produced Identification
Type of Identification Produced
Halelgh Short I Commission No.
NOTARY PUBLIC
(�PAI h Short
NOTARY PUBLIC
"149CM" GG148342 wmiu�
2w* U"GG148342
Revised 07/15/2014 W., �
EXPIMS 5/2512021 Rvnima OWF10hoi
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