HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
. BY
St. Lucie County RECEIVED
Building Permit Application DEC, 042Ot8
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR Shutter
PROPOSED
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Address: 9940 S Ocean Dr#810
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 810 AND .8625 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0087-000-7
Site Plan Name: _
Project Name: Johnson
Setbacks Front Back: x
Install 1 Accordion Shutter
❑HVAC ❑ Gas Tank
❑Electric ❑Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,853.00
Lot No.
Block No.
Right Side: Left Side:
uK—aiecrt an
Piping
apply:
_Shutters
❑Windows/Doors
nklers
❑ Generator
❑
Roof ❑ Roof pitch
S Ft. of First Floor:
Utilities: Sewer ❑ _
Septic
Building Height:
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Name Kimberley Johnson
Name: Michael Heissenberg
Address: 9940 S Ocean or #810
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:
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 ;)zouu or more, a KCLUKUCU Notice oT Commencement is required.
YSUPPLEMENTAI"CONSTRUCTION'LIEN
e. ,.... :L -
LAW INFORMATIb�}
f'N � ` �
w
DESIGNER/ENGINEER:
Name: n1tecolnc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
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 Count.• 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 intogqd to obtain financing, consult with lender or an attorney before
commencine work orseesrdine vour/Nntire of CnmmPnrPmwnt_ �\ � /1
as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
CGUNT'f OFaA- `L l( a COUNTY OF Si- l'U f 2
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this � day of Q\J it )�X Y 20 &by I this 12:1 day of MM XJYY1l/1°20 JR- by
Michael Heissenb6 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
State of Florida )
Public -State of Florida)
Personally Known V OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. (23C� 1LI y2 (Seal)
Haleigh
Commission No.
(Sts*h Short
NOTARY PUBLIC
STATE OF FLORIDA ? COMM# GG148342 II
Revised 07/ 15/2014 Comm GG148342 I've 14t
Wec �s'10 c,.n1�e� an�rvmn Expires 5/25/2021
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