HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: IS�C� '-7
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sP RECEIVE®
Building Permit Application SEP 3 0-2015
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED 1MPROVEM,E-NT LOCATION
Address: 10000 S Ocean Dr Apt 703
Legal Description: THE MIRAMAR UNIT 703
Property Tax ID#: 4502-701-0036-000-6 Lot No.
Site Plan Name: Carole S Johnson Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFWORK .r'
s
Install 1 Accordion shutter
CONSTRUCTION INfORIVIATION
_..
Additional work to e e Orme under this permit—c ec a apply:
HVAC be
Tank ❑Gas Piping Shutters
aWindows Doors
❑Electric 11 Plumbing ❑Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3,372.00 Utilities: Sewer Septic Building Height: 110'
OWN ER/LESSEE CONTRACTOR..
ff , .?° i3.
Name Carole S Johnson Name: Michael Heissenberg
Address:10000 S Ocean Dr Apt 703 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.772-229-8008 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: tkj,/ :JA' I I 'A- Name:
s
_Address:. 5 Address: ...
State:
caity: v� - o state:_ City:
Zip: 331 Phone: ,.,Ti -tfi'31 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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confiict 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.
• dn-considerat-ion•ofthe-granting-of-this-requested-permit;tdo-hereby-agree-that-hwili;-in-all-tespects,-perform•the-work- -- -- -- '
in accari3a'nce 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 anothet.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 r. you intend to qbtain financing;consult with lender or an attorney before
•ccimmencin work-or re r inRour Nati of Commencement:
S .
Si nater
!;_..._....:e.of QwnerJ:LesseeJAgent:_ . :._. __.. . . ..:. _Signature of Contracto JLc._.,e_H ,.der_:.., .... . .. .
STATE OPTLORIDA' STATE OF FLORIDA.-
COUNTY
LORIDACOUNTY OF se to«e COUNTY OF sl ude
The fnraoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi dada of -�- 20 1 b thisZlhida of 4- "- 20 1 C-by
�._ . Y s z�R� ..� Y � Y 'cad'.
Michael Heissenb&g Michael'Heissenbmg
(Na of per n acknowledging) (Name.of person acknowledging,
(Signature°afNotary 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,VI720 Commission No. 'FHER VIZZO
Commission No. ARY PfJ9LIC TA}�Y PI Igo
STATE`OFFLORIDA STATE OF FLORIDA
r FF117920
Revised 07/15/2014 i r Expires 11113/2018 s r Expires 11/1312018
REVIEWS FRONT J.ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS