HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
0
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: C1 SCANNED Permit Number:
BY
Lucie County
• ..`.., RECEIVED
Building Permit Application APR 0 9 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
'PROPOSED IMPROVEMENT LOCATION: -
Address: 9490 S OCEAN DR 1016
Legal Description: OCEAN TOWERS CONDOMINIUM A- UNIT1016 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 3535-701-0079-000-8
Site Plan Name:
Project Name: Rasmussen
Setbacks Front Back: X
Install 1 accordion shutter
LJHVAC LJGas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,853.00
Lot No.
Block No.
Right Side: X Left Side:
mr— cnecKan
apply:
❑Windows/Doors
Piping
_Shutters
nklers
0 Generator
Roof = Roof pitch
S Ft. of First Floor: _
Utilities:"n Sewer E]Septic
Building Height:
OWf9ER/LESSEE:
CONTRACTOR:
Y
Name Edward Ramussen
Name: Michael Heissenberg
Address: 9490 S Ocean DR Apt 1016
Company:' Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.917-847-3258
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
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: Haleigh@ExpertShutters.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
�Si
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: rlremine_
Name:
Add ress: 6355 NW 361h St Suite 305
Address:
City: Nr inla Gardens
State: FL
City:
y
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
which is 1n conflict with any applicablelHo eat is Owners Association ciationlrulesaby aws,or and covienants that build
drestrict 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 f you i end to obtain financing, consult with lender or an attorney before __...--"__ - - I- "_
STATE OF FLORIDA STATE OF FLORIDA Y
COUNTY OF f (- l.A L Ci e_ COUNTY OF_!� t- t t A e
The fo going instrument was acknowledged before me The forgoing instrument was acknowledged before me
this rdayofNOVeMJQ Y 20 Aaby this—'R_dayof N0NfMN0CY 20 Lby
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging I
(Signature of tary Public- State of Florida) - Signature of of ry Public- State of Florida )
'Personally Known OR'Produced Identification— Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identificattiion Produced
Commission No42->r LISM2 (Seal) Commission No.t.�lGflig3y (5
Haleigh Short eA6igh Short
NOTARY PUBLIC NOTARY PUBUC
STAT OF LOR
Revised 07/15/2014 ? Comin#G0148342 ^ - "? Cornm#GG148342
Ex ires 5/25/2021 0 Expires 5125/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS