HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie CountV
RECEIVED
Planning and Developmen I t Services Building Permit Application A1113. 2 . 6 2019
Building and Code Regulation Division Permitting DeP8rtment
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
1FROPOSED IMPROVEMENT LOCATION.
Address: 9490 S_ Ocean Dr. #614
Legal Description: OCEAN TOWERS CONDOMINIUM A- UNIT614 AND UNDIV SHARE IN COMMON ELEMENTS (OR 1323-2247; 3669-2091)
Property Tax I D #: 3535-701-0045-000-1
Site Plan Name:
Project Name: Mortimer
Setbacks Front Back: X
install 1 accordion shutter
Right Side:
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
AaaitionaiworKtol)e erformed under this permit — cneCK all apply:
HVA ri GasTank DGas Piping loShutters E]Windows/Doors
Electric El Plumbing []Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ 2,071.00 Utilities.."n Sewer D Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mortimer, George E.
Name: Michael Helssenberg
Address: 9490 S. Ocean Dr. #614
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax: —
Phone No. 772-214-8852
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 I if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
IT value at construction is �i25UIJ or more, a RECURDED Notice of Commencement is required.
,SUPPLEMENTAL�1�01\15TkyqlqN LIEN �LAW INIPQRIVIATIM
DESIGN ER/ENG I NEER: Not Applicable-
Name: T,:tewlnc.
MORTGAGE COMPANY: . X Not Applicable
Name:
Ad d resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FIL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X NotApplicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 inspectiorL-tf you inteVn to obtain financing, consult with lender or an attolry before
commencinR work or reiford! tice of Commencement.
as
STATE OF FLORIDA -�� STATE OF FLORIDA 5�. LLtClLe
COUNTY OF i,-�f . Lucl:e � COUNTY OF
Th�Lfo"O ing instruAient was ack owledged before me
tWE-S " 1-4 iE N:by
Michael Heissen4g
(Name of person acknowledging)
n f
(Signature of Notary Pub c- State of Florida )V L/
PersonallV - :70R Produced Identification
Type of Identification Produced_
Commission No.
Revised 07/15/2014
The forgo ' ng instrument was ackgowledged before me
thOP5
,day of Q �A5± 20 LJ by
Michael Asissenberg
(Name of person acknowledging )
C)4207�& 9LivXe
(Signature of Notary Pub c- State of Florida4/ U
PersonallyKnown Y OR Produced Identification
Type of Identification Produced
Iblic;t.t.cifFlorid, Commission No.
Viz '2(0;1(9SJ
Cn& 0
blic State of Florida
vizzo
union GG 262653
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