HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAA E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - J Permit Number: ��r < o z-]
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Building Permit Application DECEIVE®
Planning and Development Services SEP 14 2015
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 INIPROVEMENTLOCATION
51C
Address: 10600 S Ocean Dr #310
Legal Description.. OCEANA SOUTH CONDOMINIUM II UNIT 310
Property Tax ID#: 4511-517-0037-000-6 Lot No.
Site Plan Name: Donald Puscas Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,"61"WORK
J.
Install 2 Accordion Shutters
CONSTRUCTION IN`FOR11lIATION
Additional work toe e orme d under this permit–check a apply. A
❑HVAC E]Gas Tank Gas Piping Shutters In Windows Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1731.00 Utilities. —Sewer Septic Building Height. 130'
QUVNER/LESSEE CONTRACTOR
Name Donald Puscas Name: Michael Heissenberg
Address:10600 S Ocean Dr Company: Expert Shutter Services
City: Jensen BeachState:FL Address: 1626 SW Biltmore St
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.586-242-4550 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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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
::Name: (kms✓ t 'k �� Name:
State: City: State:
Zi QS'51.cpr,� Phone: o - -
p: 3 5 �?*, -L�1 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X NotApplicable 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 the permit holder to build the subject structure
which is in conflict with any applicable Home Owners.Assoclation 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.
_
ln-cephsideration-of-the-granting=ofthis-requested-permit,—l-do-herebyagree-that-1-will,in_all respects,—perform-the-work----------- -- — -
In-accordance withhe
.t .approved-plans;fhe.Floeidi Building_Codes at.Luc
-and St Amendments.
The following building permit applications are exempt from undergoing a fullconcurrency review:room additions,
:accessory structures,swimming pools;fences,walls,.signs,screen rooms and accessory uses to another-non-residential use
WARNING TO OWNER:,Yourfailureito Record aJNotice 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�ins.pecti you:intend;to twin financing;consult with lender or:an`attorneybefore
commencln workw rer,6rqi6ur_Notiof Commencement:
v _ s _
S�nature of Owner/"Lessee]Agent, Signature.of Contracto/Lic
- —
STATE:OF FLORIDA STATE OF FLORIDA"'`°
COUNTY:- _Of;St Lude .
COUNTY OF st Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged.before_ me
tFiiAl►.day of 6K:p t -20'�by thisq'>�lday-of.:- . SrP� .. zo I b'by::
Michael Heissenb&g. Michael Heissenberg
(Naof•per n acknowledging) (Name of person acknowledging.)
` V `
(Signature-of Notary.Public-State of Flori (Signature of Notary Public-State of—Florey)
Personally Known.x OR Produced Identification Personally Known x OR Produced Identification
_Type of,Identification ProducedType of Identification Produced
HEATHER VIZZO
Co`mmissio'n No t� Commission No. W-04VE
THEIR VIZZO
�� ARY PUBLIC -
q - -
STATETARP PUBUCSTATE OF FLORIDA
F 176266
Comm#FF176266
Revised 07/15/2014 '►cE19Expires 11/13/2018Expires 11/13/2018
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