HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
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
PRsOPOSED'I PROVEME,NIT.LOCATION::
Address: 10600 S OCEAN DR 909
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT909
Property Tax ID#: 4511-517-0096-000-7 Lot No.
Site Plan Name: Shirley J Carr Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
bETALLED DESCRIPTION 01=:°1NORK
Install 1 Accordion shutter
CONSTRUCTION.INFORMATION:
Additional workktoe n e orme un er t is permit—check aapply: _
HVAC Ej Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers I Generator 1:1 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 2473.00 Utilities:n Sewer O Septic Building Height: 130'
OUVN'ER/LESSEE `< .°CONTRAC TOR:
Name Shirley J Carr Name: Michael Heissenberg
Address: 10600 S Ocean DR Apt 909 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.772-229-1258 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.
Si1P°PLEIVIENTAL CONSTRUCTION LIENrIAW INF RMATION
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 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.
A r
s
_
Sigilatuee of Owner/Lessee/lent Signature of o ractor/License H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The�xgoing instrument was acknowledged be ore me The forgoing instrument was acknowledged before me
this day of ►-�u.b� 20 L5by thislH•-clayof .20 IT' by
Michael Heissenb&g Michael Heissenberg
(Name erso cknowledging) (Name of person acknowledging)
s V
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State o or' )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
IZZO
Commission No. HE*TVIZZO �R HEATH BLIC
Commission No. NOpUBLIC
NOTARY PUBLIC _STATE OF FLORIDA
FLORIDA
Revised 07/15/2014 Het Expires 11/13/2018
Cornet#FF176266 � 0
Sw* 1w; Expires 11113!2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS