HomeMy WebLinkAboutBuilding Permit Application ALL APP (CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,
Date:
��- Permit Number.
Q j =.°'mac 1 R
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Residential
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X
PERMIT APPLICATION FOR: Shutter
Address: 10310 S OCEAN DR 710
Legal Description: OCEANRISE CONDOMINIUM APT 710
Property Tax ID#: 4511-515-0068-000-6 Lot No.
Site Plan Name: Maureen K Debono Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 1 accordion shutter
fi
itiona wor to e e orme under, is permit—c ec a appy:
❑_HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric 1:1 Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction- Sq. Ft.of First Floor:
Cost of Construction:$ 4,964.00 0440°I Utilities: _Sewer Septic Building Height: 70'
- 3 k
Name Maureen K Debono Name: Michael Heissenberg
Address:4413 NW Oak Branch Ct 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.772-214-6110 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: tky✓ I lk �'' Name:
-Address:_01 �'�—' '3lANb� Sr S-.# '64< Address:
City: a State:_ City: State:
r � r
Zip: ''St Phone: 30S - $?I _L 4Z,751 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-herebyagree-thatTwill;-in--a11 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 9btain financing,consult with lender or an attorney before
-commencing work or re r in ur Notip6of Commencement.
s .
_.Signature of Owner/Lessee/Agent Signature of Contracto Lic e H der.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-s- COUNTY OF srl„ae
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisZS�llleday of 6"f 20 !Xby thisZ'S��day of 5'Ee4- 20 1!�by
Michael Heissenb6rg Michael Heissenberg
(Na of per n acknowledging) (Name of person acknowledging)
INO
(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. THEIR VIZZO
Commission No. ARYPUBLIC NO zy,PUBLIC
SATE OF FLORIDA STATE OF FLORIDA
9%0_ft T91
Revised 07/15/2014 Expires 11/13/2018 0 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS