HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \ 5 Permit Number:
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RECEIt'ED 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
PRO'POSED IMPROVEMENT LOCATION:
Address: 9940 S OCEAN DR 805
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 805
Property Tax ID#: 4502-502-0082-000-2 Lot No.
Site Plan Name: Kevin W Perras Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION""OF WORK:
Install 1 Accordion shutter
CONSTRUCTION INFORM AT ION �
Additional work toe performed under tispermit—check all appy:
OHVAC Gas Tank Gas Piping �_Shutters []Windows/Doors
11 Electric 11 Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: I Sq. Ft.of First Floor:
Cost of Construction:$ 459.00 Utilities: 0 Sewer OSeptic Building Height: 130'
OW N ERAESSEE CONTRACTOR:
Name Kevin W Perras Name: Michael Heissenberg
Address:9940 S OCEAN DR 805 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.305-380-8488 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.
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SUPPLEMENTAL CONSTRUCTION Ui N`LAW INFORMATION:'
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 reco_rz4ng yourXotice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sl Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 20 _by this day of 20 by
Michael Heissenbrg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowled
(Signature of Notary Public-State of Florid (Signature of Notary Public-Statd, f F04da)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
t HEATHER VIZZO
Commission No. ARYPUBUC Commission No. 1 &SeyHER VIZZO
STATE OF FLORIDA NOTARY PUBLIC
STATE OF FLORIDA
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�•/ le A Expires 11/13/2018 ?Comm#FF176266
Revised 07/15/2014
p '4WAV Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS