HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0 ' ' 1 S Permit Number: O R
Building Permit Application AUG 13 2015
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
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPRO\IEM uN'TIO' TIC N
ii -n4.i tea.
Address: 9940 S Ocean Dr Apt 110
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 302
Property Tax ID#:–4502-503-0034-000-4—
Site
-Site Plan Name: William A Whiteford Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
15:
DETAII EDDESCRiPTION C}EtiUU �
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Install 2 Accordion shutters
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Additionalwork to be nertormed under this permit–check a2Shutters
appy:
HVAC Gas Tank ❑Gas Piping ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4567.00 Utilities:Sewer Septic Building Height. 130'
0111/N � ` s WE /LZESECOUT
$
Name William A Whiteford Name: Michael Heissenberg
Address:9940 S Ocean Dr Apt 110 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 1626 SW Biltmore St
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-229-8400 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
StJPPLEMEN AL C.ONSTRUCTlt7N LIEN'LA1111 NFORMATIO"N
8 �a. �., XZ
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 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 you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
11 i ;V A L 144
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Signatur o Owner/Lessee Agent Signature of Contractor/License Ho er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St L.de
The forgoing instru ent was acknowledgedfore me The forgoing instrument was acknowledged before me
this day of by thisday of T 20 _L by
Michael Heissenbtirg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
� . CV Ov
(Signature of Notary Public-State of Flori a Ll (Signature of Notary Public-State of FI da
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced GATHER VIZZO Type of Identification Produced
�, NOTARY PUBLIC
Commission No. HE,A'w BUC
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S S'1E�1�10F FLORIDA Commission No. N PUBLIC,
Cnmtn#FF176266 STATE OF FLORIDA
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Revised 07/15/2014 Expires 11/1312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS