HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: SCANNED Permit Number: 1qM • M13
BY
St. Lucie County
RECEIVED
Building Permit Application JUL 12,1019
Planning and Development Services
Building and Code Regulation Division Permitting DepartmOnt
2300 Virginia Avenue, Fort Pierce FL 34982 St, Lgelo Cuvnty
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
1,PHUPOSEDIMPROVEMENT, LOCATION,
t
Address: 10600 S. Ocean Dr. Unit #405, Jensen Beach, FL 34957
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT 405 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-517-0042-000-4
Project Name: Rodriguez
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
1 DETAILED DESCRIPTION OF.WORK
install 2 accordion shutters
CONSTRUCTION, INFORMATION
diona work to rie performed un ert is permit c ec a app y:
E1HVAC 11 Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing []sprinklers ElGenerator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1,116.00 Utilities:'nSewer 11 Septic Building Height:
`OWNER/LESSEE:
CONTRACTOR:,,
Name Mario Rodriguez
Name: Michael Heissenberg
Address: 317 NW Somerset Circle
Company: Expert Shutter Services
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 772-528-3366
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 value of construction is 5250u or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION;
s ,
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Tiltecoinc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
City: State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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.
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 that
or and covenants 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; screerrrooms-and accessoryuses o anot er 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 u intend o obtain financing, consult with lender or an attorney befo
commencing -Work or re n our tice of Commencement.
s
Signature of Owner/Lessee/Contractor a Agent folOwner
Signature of Contractor/License Holder
STATE OF FLORIDA` p
COUNTYOCIt
STATE OF FLORIDA , /lit
COUNTY OF
The orgoing instrument was acknowledged before me
i� I
The forgoing instrument was acknowledged before me
-it -day i
thl . day of ILI 20 Lby
this of � U I i 20 I-q-- by
Michael Heissenberg
Michael Hsissenberg
(Name of person ack owledging)
i
(Name of person a knowledging )
12IXor-AL
(Signature of Notary Pu ic- State of Florida)
(Signature of Notary,Puubbll'''�- State o Flori
Personally Known OR Produced Identification
Personally Known v OR Produced Identification
Type of IdentificationProduced
Type of Identification Produced
'� (
Commission Nc&& ;� "'
Commission N
(Seal)
(Seal
NotaryPublic State of Floride
Notary Public State of Flonde
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