HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ® 1� 1 S Permit Number: �
Rl OCT 161015
v
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
a,
PI�Of�QSED )t1PRQVEMLIT LCICATICN ,` e � rqr
Address: 9490 S OCEAN DR 314
Legal Description: OCEAN TOWERS CONDOMINIUM A-UNIT314
Property Tax ID#: 3535-701-0021-000-7 Lot No.
Site Plan Name: John Galbo Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
H y:
DETArILEp D�5CRIPTION d" WORK
dA
Install I accordion shutters
COISTRU�CTI�;�1�1NI�t�Rl1t� T1aN,�t� � .f.
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Additional work to ne performed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping ._Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2591.00 Utilities:cn Sewer Septic Building Height: 100'
O1NN ER jLESSI= CONTRACTOR u
Name John Galbo Name: Michael Heissenberg
Address:11 Hillside Ave Company: Expert Shutter Services
City: New Rochelle State:NY Address: 1626 SW Biltmore St
Zip Code: 10801 Fax: City: Port St Lucie State.FL
Phone No.914-804-4987 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.
W- M I
DESIGNER/ENGINEER: Applicable MORTGAGE COMPANY: X Not Applicable
Name: L&^t)cjl :IA— I I Name:
-Address: 01S,5 u:o < Address:
City: State:
V-1 CK;Jr-An State:_f:t, City:
Zip: 'S`5 t VLe Phone: 'z.,o,5 - I i -t,1531 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.
-4 n-consideration-of-the-granting-of this-mcluested-permit;.1-d"ereby-agfee-that-4-w'iii7in-all-respects-,-perform-the-work-
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The follow' Ing 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 thefirst inspectip". you intend to obtain financing,consult with lender or-an attorney before
co rnmencing work-or regorgrin"ur Nott oi commencement.
S .
Signa'Gre of Owner/LesseqA 0 ......
.g nt t , icelKe Hofder.
Signature of Contracto LI
STATE OFFLORIDA STATE OF FLORIDA
COUNTY OF st L.-w COUNTY OF slime
Th.e fqrRoing instrument was acknowledged before me The for-going instrument was acknowledged before me
thisJA LP _day of - 20 11by thd(0-110%dayof Wby
Michael Heissen-6 Michael Heissenberg
(Naing) (Name of person acknowledging)
(Signature of Notary Public-State of Florisfery (Signature of Notary Public-State of Floi;6W)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO THEIR V2ZO
Commission No. Y
-Commission No. SA*ARY PUBLIC I
Awv! CTAR PUBLIC
031%, STATE OF FLORIDA kM STATE OF FLORIDA
Comm#FF1762Ero
Revised 07/15/2014 W111 Expires 11/13/2018 -Expires 11/13120I8
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS