HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY Fc
?` St. Lucie County J6N F'FO
® PS'��s I�1p19
Building Permit Application q°Ppd
Planning and Development Services °i'nt 0,7t
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
Address: 10000 S OCEAN DR 904
Legal Description: THE MIRAMAR UNIT 904 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-701-0049-000-0
Site Plan Name:
Project Name: Cooper
Setbacks Front Back:
Install 2 accordion shutters
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION;
rtiona wor to
E1HVAC
e e
E]
orme under tispermit—checka
Gas Tank ❑Gas Piping
apply:
Shutters
Windows/Doors
11 Electric
0 Plumbing
Sprinklers
0 Generator
E]Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:
$ 996.00
Utilities:cnSewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Deni Cooper (LF EST)
Name: Michael Heissenberg
Address:10000 S Ocean DR Apt 904
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-631-6939
Address: 668 SW Whitmore or
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 value oT construction is,l[suU or more, a HECORDED Notice at Commencement is required.
I
SUPPLEMENTAL CONSTRUCTIONLIEN LAW-,! ,ORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecolne
MORTGAGE COMPANY: X Not App!icable
Name:
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip:33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
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 intend tgbbtain financing, consult with lender or an attorney before
commencing work or rec dins; Our Not' a of Commencement. i'`"N /
as
STATE OF FLO DA STATE OF FLOf�r �G
COUNTY OF . ���� COUNTY OF _ �\ 1.
The fo going instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of J(AvAQ 20 by this 4 day of 20 a by
Michael Heissent,149 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
D(&�k i'amwy�- n
(Signature of Notary Public -State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
/� �pR
Commission No{„^iS� o°' o NOTARY P
U v o STATE OF
Comm# GC
Revised 07/15/2014
Personally Known OR Produced Identification
Type of Identification Produced
y Shanon O'Shea
�Rmission Nom"by )NOTARY PUBLIC
STATE OF FLORI
Expires 9/12/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS