HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
® M St. Lucie R
By deft
Building F@ftit Application F98_I,g 2019
Planning and Development Services PermiWn
Building and Code Regulation Division St Lucie Department
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2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter I
Address: 9900 S OCEAN DR 1206
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 1206 AND UND SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-503-0120-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Kenworthy
Setbacks Front Back: X Right Side: Left Side:
[DETAILED CfESCRIP-n6' `F"WOR'K =_` _ . °
Install 1 accordion hurricane shutter
C*ONSTRUCTION INFORMATION" �
Addition wor to e
E1HVAC E]
e orme un
Gas Tank
ert ispermtt—c ec
Gas Piping
a
appy:
10 Shutters
Windows/Doors
.Electric ElPlumbing
Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:$ 3,174.00
Utilities:cnSewerOSeptic
Building Height:
;OCNNER/LESSEE: _
'CONTRACTOR:
Name John 8 Linda Kenworthy
Name: Michael Heissenberg
Address: 128 Pepper LN
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-214-9555
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
u vame or construction is >zsuu or more, a ittcoeutD Notice of commencement is required.
SUPPLEMENTAL GONSlRUCTIONCIN IANV INFQRMATIOIV
,t. G R_ u�
DESIGNER/ENGINEER: _ Not Applicable
Name: nitecoinc.
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: sass Nw3sth St suite 305
Address:
City: Virginia Gardens State: Ft
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x 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 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 Akejit for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOFS-1- WC 4t COUNTYOF 'F l (AICIC
The forgoing instrument was acknowledged f�efore me The forgoing instrument was acknowledged before me
this�dayof_ [�Iby this day of 20 A3
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging j (Name of person acknowledging )
of Florida )
re of Notab Public -State of Florida
Personally Known K OR Produced Identification Personally Known J1- OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. ram/ 3 Ijiaiagh Short Commission No. (S"A%h
STATE O PUBLIC NOTARYLIS
STATE OF FLORID
'WX UU 148342 Corte®Ri9g��P Y
Revised 07/15/2014 Expires 5/25/2021 W e 1 V
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