HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAKE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCE 'TED
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Date: SCANNED Permit N n
um
BY
Ud St. Lucie County
Building Permit Applicatior
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x
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S EP 2 5 2018
Permitti g
St I ng Department
Luc
LUC Co
St. LUde CountY, FL
4 1
Residential
PERMIT APPLICATION FOR: Shutter
P'#06SEP"'IMPRQVt t M Loc T,
T Am
6 N'
Address: 9940 S Ocean Or #1206
Legal Description: OCEANIA OCEANFRONT CONDOMINIUM ONE APT 1206 AND.7120
PERCENT INTIN COMMON ELEMENTS
Property Tax ID#: 4502-502-0123-000-2
Lot No.
Site Plan Name:
Block No.
Project Name: Pardoyl
Setbacks Front Back: x Right Side: Left Side:
Install 1 Accordion Shutter
1'��RUP 0WINFORMATIOW4 , , - ir
al worK to be rtormed underrmspermt
11HVAC 0 Gas Tank
_c neCK
DGas P'iping
all apply:
Shutte
E]Windows/Doors
rs
11 Electric El Plumbing
OSprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft of First Floor:
Cost of Construction: $ 3,046.00
Utilities"'Li
Sewer []Septic
Building Height:
NER/L'8SStE' ACONTR
A CTOR:
Name Raymond Pardoyl
Name: Michael Heissenberg
Address: 9940 Ocean Or #1206
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-3010
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:—
Fillin feesimple'ritle Holdercin nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
il Vd!Ue at curibiruction is ;,zouu or more, a 11MUKULU Notice at Lommencement is requirecl.
I
DESIGN ER/ENGI NEER: Not Applicable
Name: nitewinc.
Address: 6355 NW36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: —
ne:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 171ict 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 ci,�tain financing, consult with le��,r a"ttornew/before
commencine work or rPr:nrdiRP-V?Wtr-Nntir,/�hf rnmmPnrPmPnt '1� Jr -
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � COUNTY OF- " �,.A.Acle
The forgoing instrument was acknowledged before me
thisj_\ dayof 9,CC-4MV_)e_ 2oAby
Michael Heissenb6
(Name of person acknowledging
The forgoing instrument was acknowledged before me
this 'Z\ day of 0,,ePqe 20 18 by
Michael Hsissenberg
FName of person acknowledging
(�ignature f otary Public- State of Florida qSIgnature of ��ary ic- State of Florida
1�1
Personally K, ow, , 70R Produced Identification Personally Known Py OR Produced Identification
Type of Identification Produced— Type of Identification Produced
Commission No.(�GN2��u
Revised 07/15/2014
(Seal) Commission No.
Lt� HaLth Short I
STATE OF FLORIDA
CUMWGG148342
H J�%
e19I %hort
NOTARY PUBLIC
CwrnW GG148342
Excilres ;i12r,/9ni1
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Pires 5/25/2021
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