HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County
P OCID
Building Permit Application
Planning and Development services �co9 A
Building and Code Regulation Division PC'%
to
2300 Virginia Avenue, Fort Pierce FL 34982 oG
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential %e
PERMITAPPLICATION FOR Shutter
t?ROOD 1MP,RGiU
1s1N1ENTLOCAION
Address: 9940 S OCEAN DR 604
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 604 AND .7875 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0061-000-9
Site Plan Name:
Project Name: Vangeison
Setbacks Front Back: x
Install 1 Accordion Shutter
HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,108.00
Lot No.
Block No.
Right Side: Left Side:
Illl-UICCR GII
apply:
❑Windows/Doors
Piping
_Shutters
nklers
Generator
1:1
Roof = Roof pitch
S Ft. of First Floor:
Utilities:Sewer —Septic Building Height:
C7WP1ERjLF55EE
Utz
GtSNTRACTOR
�' ;
Name Thomas Vangeison
Name: Michael Heissenberg
Address:9940 Ocean Dr#604
Company: Expert Shutter Services
City: Jensen beach
Zip Code: 34957 Fax:
Phone No.772-380-3678
State: FL
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,r : s ,d—.'., >4 M±r'F ii, xT w. .t ✓—d-. .. ,.xbS v .. "� �Y.f Y i f /2_ Y- "5 'ss 1 .4 ➢ f w � m.. ..,. l ... '.�-r..,.... _d:} :d <pu�� d� ,
DESIGNER/ENGINEER:
Name: TiltecoInc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 6355 NW 36tb St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
= Not Applicable
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 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 intend to obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFPgV k A AC 1 P COUNTY OF , l))S Ae
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of N.10V eVYI bGV , 20 by this ZL day of kWfM (oYa— , 20 lt'�X by
Michael Heissenbiqy Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
GSi
of Notary Public- State of Florida
Personally Known I/ OR Produced Identification Personally Known `/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.im&IL9-3 Z- (Seal)
Revised 07/15/2014
Commission No
Haleigh Short
STATE OF FLORIDA
Conrn# GG148342
Hdleee hI)
.._ 9 Short
hO I ATE OF FLORIDA
Corr WGG148342
Fvni.
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