HomeMy WebLinkAboutBuilding Permit Application ALL AP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED oz-0 Permit Number: I
i
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
R
Address: 9900 S OCEAN DR 608
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II-UNIT 608
Property Tax ID#: 4502-503-0062-000-9 Lot No.
Site Plan Name: Maria A Heenan Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
09_
Install 1 accordion shutter
WdilMionalwPortoWeepe rme uncier L]PG
s ermit—c ec a app y:
HVAC Gas Tank as Piping Shutters ❑Windows/Doors
Electric Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,632.00 t�� Utilities:
Sewer ElSeptic Building Height: 170'
�. ..
10
Name Maria A Heenan Name: Michael Heissenberg
Address:217 Bertram PI Company: Expert Shutter Services
City: Bethpage State:NY Address: 1626 SW Biltmore St
Zip Code: 11714 Fax: City: Port St Lucie State:FL
Phone No.646-643-1118 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: tie Name:
Address: 5 t°w t�d -4o< Address:
t State: y- City: State:
City: .,��a C�n.•oe-a
Zip: -S3t y' Phone: 3o5 - �? -L,631 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 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.
--In-consideration of the granting of this requested-permit,l do-hereby agree Ahat+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 inspecti you intend to tain financing,consult with lender or an attorney before
commencingwork or re r in ur Notio6of Commencement.
S ,
_Signature of Owner/Lessee/Agent Signature of Contracto Lic e.H der.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stL cie COUNTY OF sltucie
The fnrgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this%60adayof 20 ( ►by this ZVWayof 5�net 20 Id by
Michael Heissenb&q Michael Heissenbarg
(Naof per n acknowledging) (Name of person acknowledging)
(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 VIZZO Commission No. ►THER VIZZO
Commission No. S &ARYpUBUC �TATE
TARYPUBUC
9A1.0—Ml T9 STATE OF FLORIDA OF FLORIDA
1
Revised 07/15/2014 , W Expires 11/13/2018 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS