HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: rl 5 Permit Number: � 5d-1
s RECM!':D SEP 02 2015
Building Permit Application
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 iMI ROVEME'NT LOCATION:
Address: 11000 S OCEAN DR 6-D
Legal Description: VILLA DEL SOL-CONDOMINIUM UNIT 6D
Property Tax ID#: 4512-701-0088-000-6 Lot No.
Site Plan Name: r-D P, Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRI0TIO4OF:INORK."' "
Install 2 Accordion shutters
,CONSTRUCTION INFORMATION
t
Additional work toa er orme under this permit—check aMShutters
appy:
HVAC Ei Gas Tank E]Gas Piping ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2768.00 Utilities: Sewer ElSeptic Building Height: 30'
DWNER/LESSEE: "` "CONTRACTOR:
Name 1,4 ,00, of 6c, Z4 Name: Michael Heissenberg
Address: 11000 S OCEAN DR 6-D 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.631-697-5253 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.
NSUPPLEMENTAL CONSTRUCTION LIELAW INFORMATIO,Ni
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 o obtain financing, consult with lender or an attorney before
commencing work*P-wcordjqg your 46tice of Commencement-.
s
V_Signature of Owner/Lessee/Agent Z1J
Signature of Contractor/License IfIolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StLucie
The forgoing instrumeyy:t was acknowledged fore me The forgoing instrument was acknowledged before me
this day of "��Q i" 20 by this–Z-0 day of ftp 20 15 by
Michael Heissenb�rg Michael Heissenberg
(Na a of pe on acknowledging) (Name of person acknowledging)
V
(Signature of Notary Public-State ofor' a (Signature of Notary Public-State o I id
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ER VIZZO Commission No. eMIf ATHER VIZZO
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA
.Y Comm#FF176266W <Comm#FF176266
Expires 11/13/2018
Revised 07/15/2014 s, �e s�NCE �® Expires 11/13/2018
NCE�s
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS