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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 15 Permit Number: )S0 l—4 l a RECEI`.' D SEP 09'2015 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"IIVIPROVEMENT„L`OCATION."`° Address: 9900 S OCEAN DR 101 Legal Description: OCEANA OCEANFRONT CONDOMINIUM II-UNIT 101 Property Tax ID#: 4502-503-0005-000-2 Lot No. Site Plan Name: Thomas F Meade Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED OESCRIPTIONDF,I ORK. , Install 5 Accordion shutters CONSTRUCTION INFORMATION Additional work to e e orme under this permit—check a appy: ❑ VAC be E]Gas Piping Shutters ❑Windows D"o"ox rs ❑Electric 0 Plumbing Sprinklers ❑Generator ❑ Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 7247.00 Utilities:n Sewer Septic Building Height: 180' 5 CONTRACTOR: .O.\NNER/LESSEE: ` ' . z Name Thomas F Meade Name: Michael Heissenberg Address: 110 Heaton Ln Company:. Expert Shutter Services City: Wappingers Falls State:NY Address: 1626 SW Biltmore St Zip Code: 12590 Fax: City: Port St Lucie State:FL Phone No.+ 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. SUPPLEMENTAL°CONSTRUCTION ,IE'N'°LAW INIF RMATION a ` 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 b fore com_ mencin work or_rzqording youlJNotice of Commencement. t< ! 1 s _Signature of Owner Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie COUNTY OF St Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this VAday of5c I=V 20 A'15-by thisk+21ay of :59.4 20 iJ by Michael Heissenb6rg Michael Heissenberg (Name of pe on acknowledging) (Name of person acknowledging) `(Signature of Notary Public-State of Flori a (Signature of Notary Public-State of 1`1410) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced 0E, HEATHER VIZZO Commission No. �TARY PUBLIC Commission No. `� SelflPTHER VIZZO STATE OF FLORIDA c NOTARY PUBLIC .� Expires 11/13/2018 WE119-1 Comm#FF176266 Revised 07/15/2014 Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS