HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: I b r� • nl
BY A1un
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St. Lucie County a 6wxtlur,fad
Building Permit Application ®!Ol PO 030
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Planning and Development Services
Building and Code Regulation Division 03AM091i
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: ShutterNg
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Address: 10310 S Ocean Dr #701
Legal Description: OCEANRISE CONDOMINIUM APT 701 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-515-0059-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Santulli
Setbacks Front Back: x Right Side: Left Side:
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Install 1 Accordion shutter
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itiona wor to e nertormea un ert is permit— cneCK a I appy:
11HVAC Gas Tank ❑Gas Piping �_ Shutters ❑ Windows/Doors
11 Electric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: s F�t.I of First Floor:
Cost of Construction: $ 5,879.00 Utilities: — Sewer Septic Building Height:
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Name Vincent Santulli
Name: Michael Heissenberg
Address:7 Starling PI
Company: Expert Shutter Services
City: Farmingille State: NY
Address: 668 SW Whitmore Or .
City: Port Saint Lucie State: FL
Zip Code: 11738 Fax:
Phone No. 772-229-7403
Zip Code: 34984 Fax: 772-871-0990
E-Mail:
Phone No. 772-871-1915
Fill in fee simple Title Holder on next page (if different
E-Mail: Callexpert@aol.com
State or County License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tiltecomc.
Name:
Address; 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
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 Not' a of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intepd to obtain financing, consult with lender n attor ey before
commencing work or co " your Otice of Commencement. /1
STATE OF FLORIDA STATE OF FLORIDA v
COUNTY OF '-�* l ),-1 C) P COUNTY OF S� Ca ei
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged efore me
this�dayof�l�JVCYYI(3�✓, 20 Sby this �day of i��/i°fY1�1�20 �� by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
,(Signature ottptary Pubic- State of Florida ) (Signature of lloyry Public- State of Florida )
Personally Known OR Produced Identification Personally Known 1/blOR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No-6C7Iq q2
Revised 07/15/2014
Haleigh Short Commission No.
NOTARY PUBLI
Comm# GG148342
Expires 5/25/2021
ewfth Short
NOTARY PUBLIC
Comm# GG148342
Expires 5/25/2021
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