HomeMy WebLinkAboutBuilding Permit Application ALL APPL BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
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Date:
Permit Number: /J 0 /' 0�c
. - RECEIVED
Building Permit Application
Planning and Development Services SEP 2 5 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
2.G
Address: 10600 S OCEAN DR 407
Legal Description. OCEANA SOUTH CONDOMINIUM II UNIT407
Property Tax ID#: 4511-517-0044-000-8 Lot No.
Site Plan Name: Charles D Falter Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 2 accordion shutters
s. ' * x.
,= m �
WitioWnIalwor pe Orme un er t is permit c ec a appy:
❑HVAC _Gas Tank ]Gas Piping Shutters ❑Windows/Doors
Electric Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,285.00 UtilitiesSewer 0 Septic Building Height: 1'30'
_. 311 =
Name Charles D Falter Name: Michael Heissenberg
Address: 10600 S Ocean Dr#407 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.410-215-8694 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: 6,Atbw I t 9'k Name:
_Address: �s �''w '�(,Nb, �T S,-�k4 ��< Address:
City: it r o State: _ City: State:
Zip: '3t PhoneZip: 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 the permit 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.
-1n-consideration of the granting-of this requested permit;I do-herebyagree-that-I will,An--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 inspectip you intend to Otain financing,consult with lender or an attorney before
-commencing work or re r in ur Notiro6 of Commencement.
S .
—Signature of Owner/lessee/Agent Signature of Contracto Lic e H der.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st Lucie COUNTY OF su.0 ie
The fnraoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this7r5,lksday of 1,1;!W t 20 iSby thisZ''TJWayof 5'e4- 20 (d'by
Michael Heissenb6rg Michael Heissenberg
(Na of per n acknowledging) (Name of person acknowledging) I
(Signature of Notary Public-State of Flori (Signature of Notary Public-State of Flor'
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
.Type of Identification Produced Type of Identification Produced
HEATHER V12ZO Commission NTHER V12ZO
Commission No. ssono.
ARYPUBLIC itTOTARYPUBUC
STATE OF FLORIDASTATE OF FLORIDA
CwwW 1
Revised 07/15/2014 1 W Expires 11/13/2018 Off Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS