HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: I �W
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
Residential
REOMM
06r 1 Ittinq l3epartment
Tel Lutie County
PERMIT APPLICATION FOR: Shutter III
(PROPOSED tAttPtiOVMENT.LOCATION.=• - m n_ *m ll
Address: 10310 S. Ocean Dr. #708
Legal Description: OCE:ANRISE CONDOMINIUM APT 708 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-515-0066-000-2
Site Plan Name:
Project Name: Linsner
Setbacks Front Back: X
I install 2 accordion shutters
�HVAC
Gas Tank
Electric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2852.00
Right Side:
Left Side:
rim it—c eCK all apply:
is Piping Shutters
2rs LiGenerator
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Lot No.
Block No.
❑ Windows/Doors
DRoof = Roof pitch
Building Height:
OW,N,ER/I ESSEE:
:CONTRA CTCtR
Name Nancy Shelp Linsner
Name: Michael Heissenberg
Address:4733 S Colfax S AVE
Company: Expert Shutter Services
City: Minneapolis State:MN
Zip Code: 55419 Fax:
Phone No. 612-998-5667
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 nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
n
LIEN
LAW INFORMATION`.;
DESIGNER/ENGINEER. _ Not Applicable
Name: Tilteminc.
MORTGAGE COMPANY: x Not Applicable
Name:
Address; 6355 NW 36th StSuile 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 propeyty.,f1 Notice of Commencement must be recorded and posted on the jobsite
before the first inspection.)f you intend t%Abtain financing, consult with lender or an attopAey before
STATE OFF LO A STATE OF FLORLInA
COUNTY OF M acle COUNTY OF . La��tP
The f g ing instrument was acknowledged before me The for ing instry�ment /was acknowledged before me
this day of 6�I[ Q . 20 lY.by this ay of cXn,diC _ . 20 by
Michael Heissenbt4g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification rodufceed
Commission No a5 VJ (Seal) Shanon O'Shee
x% NOTARY PUBL
(Signature of Notary Public- State of Florida )
Personally Known X.") OR Produced Identification
Type of Identification Produced
Commission N (Seal)
s�Spey Sharon O'Sf
NOTARY PUI
Revised 07/15/2014 �J� Comm# GG258038 a = Comm#
Expires 9/12/2022 YNCE 51e Expires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS