HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: $ a. �Q SCANNED Permit Number:
L s - _ BY RECEIVED
• _ St. Lucie County AUG 0 2 '019
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
I 1PROPOSED IMPROVEMENT LOCATION::
Address: 9940 S OCEAN DR 1104
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1104 AND .7875 PERCENT INTIN COMMON ELEMENTS (OR 763-468)
Property Tax ID #: 4502-502-0111-000-5
Site Plan Name:
Project Name: Tutak
Setbacks Front X Back: X
ON OF
install 3 accordion shutters
Right Side: Left Side:
Lot No.
Block No.
RUCTION INFORMATION:
dlona wor to e e orme un ert
0HVAC 11 Gas Tank
Is permit—c
Gas Piping
ec a
apply:
�_ Shutters
Windows/Doors
11 Electric OPlumbing
[]Sprinklers
El Generator
Roof Roof pitch
Total Sq. Ft of Construction:
ScFt.
of First Floor:
Cost of Construction: $ 3,993.00
Utilities'.
Sewer D Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR;
Name Tutak, Norma J. & James J.
Name: Michael Heissenberg
Address: 9940 S Ocean Dr Apt 1104
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-8638
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;,;
_ >. -. a
17
DESIGNER/ENGINEER: _
Name: Tiltecolnc.
Not'Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X
Name:
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 inspectioa4f you inter
�0I to obtain financing, consult with lender or an attorr before
commencinla work or ' ccr vour➢Uotice of Commencpmpnf. / /
�)Ignature of uwner/Lessee/contractor as Agnt for Owner Signature of Contractor/License Holder
STATE OF FLORIDA �l I I I STATE OF FLORIDA i
COUNTY OF �J/ , I�IJL�I� COUNTY OF , 5_�' LA���
Th rggo)k g instrugr�ent was ack owI dged before me The forgoing instr� e�ntt� was acknowledged before me
thi '�dE l of i t �,(S 20 Lby thissg rday of 20 /7 by
Michael Heissenberg Michael Hsissenberg
(Na of pers ackno ledging) (Na a of person aclmowledging )
(Signature of Notary Public -State of Florida) (Signature of Notary Pu lic- State of Florid
Personally Known � OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
ommissionNo. (S Co mission No. „fray No icStaleolFlorida
�. y+ay 4I,ry Public State of Flori� �•
/ Heather Vizzo iF"— �' He t er Izzo
l 71 XD�rJ. ��� �: _ !' _ � Ms commission GG 262653
Revised 07/15/2014
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