HomeMy WebLinkAboutBUILDING PERMITS APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: I IOOL'�a3�
BY
St, Lucie Coun RF`F'�Fo
Building PeRit Application FFe
Planning and Development Services 1�??O1g
Building and Code Regulation Division Sr 4 hs pe
2300 Virginia Avenue, Fort Pierce FL 34982 tine �n�y enf
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
I FKUF'UJtUJ,1VHt KUVtmtN l LUGAIION:
Address: 9940 S Ocean Dr#307
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 307 AND .7875 PERCENT INT IN COMMON ELEMENTS
Property Tax ID #: 4502-502-0034-000-1
Site Plan Name:
Project Name: Lawlor
Setbacks Front Back: x
Right Side:
Left Side:
Lot No.
Block No.
f DETA)L(D #?ESCRIPTION OF WORK , &
Install 1 accordion shutter
LIHVAC LJ Gas Tank
❑Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,078.00
permit -c ec all apply:
Gas Piping NZ Shutters
ars ❑ Generator
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
❑ Windows/Doors
❑ Roof ❑ Roof pitch
Building Height:
;OWNER/LESSEE;
CONTRACTOR:
Name Michael Lawlor
Name: Michael Heissenberg
Address:7311 Westmoreland Dr
Company: Expert Shutter Services
City: Saint Louis State:MO
Zip Code: 63130 Fax:
Phone No. 314-283-0001
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 vame or construction is $Lbuu or more, a RECoitDED Notice of commencement is required.
SUPPIMENTAL'GONSTRUCTION LIEN lAW INFORMATION;
°= r
_.
DESIGNER/ENGINEER:
Name: rltecolnc.
_ Not Applicable
MORTGAGE COMPANY
Name:
Not Applicable
Ad d ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x 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 int nd to obtain financing, consult with lender or an attorney before
commencine work or record+ne vnrNotice of Cnmmanramant 11
Signature
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF'1- V..1 -e COUNTY OF-, U. IXI-Ae.
The for&oing instrument was acknowledged before me
this L day of T:EA*' n.A!2 i 4 20 Jgby
Michael Heisenberg
(Name of person acknowledging )
Personally Known bl OR Produced Identification
Type of Identification Produced
Commission
The forgoing instrument was acknowledged before me
this q day of rc�7Yl�((J,ll 20 19 by
Michael Hsissenberg
,Name of person acknowledging)
Public -State of Florida)
Personally Known °t OR Produced Identification
Type of Identification Produced
Raleigh Short I Commission
NOTARY PUBLIC
f7aeQl h Short
NOTARY PUBLIC
Revised07/15/2014 a C0mm#GG148342 Comm#GG148 "'
�N E 1D� II
Expires 5125/2021 iN F 1s�� Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
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DATE
COMPLETE
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INITIALS