HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' �� - �� Permit Number: �� V 0' 0) a X
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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
RROPOSED If1lIPR01'_EUMENT OCATIUN.
a.
Address: 9900 S OCEAN DR 310
Legal Description.. OCEANA OCEANFRONT CONDOMINIUM ONE APT 302
Property Tax ID#: 4502-503-0034-000-4 Lot No.
Site Plan Name: Maria Savone Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
_DETTAILED DESCRI'PTION;OF.WORK -"
Install 1 Accordion shutter
CONSTRUCTION INFORNIAThON.
Additional work to be performed under this .permit—check
a apply:
HVAC Gas Tank ❑Gas Piping 2_Shutters ❑Windows/Doors
Electric ElPlumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 802.00 Utilities:Sewer Septic Building Height: 1V,
OWNER/LESSEE CONTRACTOR:
Name Maria Savone Name: Michael Heissenberg
Address:590 West St Company: Expert Shutter Services
City: Harison State:NY Address: 1626 SW Biltmore St
Zip Code: 10528 Fax: City: Port St Lucie State:FL
Phone No.914-261-6575 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.
vi�€ •. '• -s d"y'",° �'�� '<
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: XX Not Applicable �MORTGAGE COMPANY: _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 thepermit 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.
r' S
_Signatu e o Owner/Lessee/ gent 'Signature o C tractor/Licens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StI_,cie
The forgoing instr ment was acknowledged b fore me The forgoing instrument was acknowledged before me
this'1�'l day of K 20 it�E thisl'-day of vsc 20 /1 by
Michael HeissenbA6 Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of F6Kda) (Signature of Notary Public-State of FI r' a
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. ( 'HER VIZZO
4164 .HESIHER VIZZO NOTARY PUBLIC
to OTARY PUBLIC
STAM:Oil:FLORIDA
STATE OF FLORIDAr, Comm#FF176266
Revised 07/15/2014 Comm#FF176266 _'P ITO Expires 1111312018
Eoras1111312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS