HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d I Ia1�� Permit Number:
RECEIVED OCT 12 1015
i�77i
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
PROPOSED � P,ROlEMEIVT Lt7�AT°I( N
Address: 9940 S OCEAN DR 607
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 607
Property Tax ID#: 4502-502-0064-000-0 Lot No.
Site Plan Name: James J Tedjeske Block No.
Project Name:
Setbacks Front Back: Right Side: Left'Side:
1TALEDDE5CRIP7ION {3F 1t1JOiK' r
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e&t
Install 2 Accordion shutters
Additiona work toe e orme under t —checkispermit a appy:
HVAC Ei Gas Tank []Gas Piping Shutters Q Windows/Doors
aElectric 1:1 Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 968.00 Utilities:Sewer Septic Building Height: 130'
,ODUNER/ ES��E g � '�� ��� y � CONTRACTOR•
Name James J Tedjeske Name: Michael Heissenberg
Address:108 Latimore CT Company: Expert Shutter Services
City: Venetia State:PA Address: 1626 SW Biltmore St
Zip Code: 15367 Fax: City: Port St Lucie State:FL
Phone No.724-575-2380 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.
r
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: UAikAv --,1 I1 r Name:
_... .-Add res '"',�,, � . fit' Sw-�k� 3,010 Address:
State:_
City: _ City: State:
Zip: 3'bt(p e Phone: "305 - -11 -0531 _ 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-Associationrules,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 af-the granting of this requested permit;l do hereby agree#hat-l-wilF-in-ali-res ects erform-the-work-------- :"--- -
P .P
,-An accordance with the:approved plans;the Florida Building Codes and St.Lucie County Amendments.
The fon6wink-buildin&permit applications are exempt from undergoing a full.concurrency review:-room additions,
...accessory structures,'swimming pools,fences,walis,.signs,screen rooms and accessory uses to another.non-residential use
WARNINGr,TO OWNER:-Your failure to Record a Notice of Commencerhent 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 tain fin.anding,consult.with lender or an attorney before
commencing work or re r in ur Noti of Commencement:
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nature-of tontracto/ _:...__.H
ner Lee A ent; Ltc
_Signaue_ofOw
STATE der.
OF FLORIDA STATE OF FLORIDA
COUNTY OF st Lucie.:_:. : COUNTY OF srwaQ.
'The fr,raoing instrument was acknowledged before me The forgoing.instrument was acknowledged.before me
thigS &dayof 2S!4_+ 20 iSby ' thisZ54day of '5!5:e 4- 20 d'by
Michael Heissen1,16 Michaei'Heissenberg
(Na of per n•acknowledging) (Name.of person.acknowledging)
(Signature of Notary,Public-State of Flori (Signature of Notary Public-State of Floc' )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
-.,Type of Identification Produced Type of Identification Produced
Commission'No. PtlC ission N
I
HEATHER S BATHER VRZO
` ��IARY Camm a• �1ARYPUSLIC
a STATE OF FLORIDA 10I &TATE OF FLORIDA
uolnaff ComffW FF176 .
Revised 07/15/20.14 WE 10%1Expires 11!1312018 � 610A Expires 111/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE -
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE 77
INITIALS