HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J /' y
Date:
12/8/15 Permit Number: ' I
RECEIVED
Building Permit Application DEC /9
Planning and Development Services 205
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
Address: 10600 S Ocean Dr Apt 901 Jensen Beach, FL 34957
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT901 AND UNDIV SHARE IN COMMON ELEMENTS
(OR 854-1343: 855-2437: 1036-1436: 1060-1814: 1330-2693)
Property Tax ID M. 4511-517-0088-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installation of one (3) accordion shutterS.
Additionalworkto e e orme under t is permit—check a appy:
11 HVAC Gas Tank ❑Gas Piping �_Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 5898.00 Utilities: Sewer O Septic Building Height: 120'
Name Donald A Evans Barbara J Evans Name: Michael Heissenberg
Address: 10600 S Ocean Dr Apt 901 Company: Expert Shutter Services, Inc.
City: Jensen Beach State:FL Address: 1626 SW Biltmore St.
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-229-3889 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@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: Not Applicable
Na",: Tiitecojnc. Name:
Address: Address:
City: Miami State: FI_ City: State:
Zip: Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 thepermit 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, I do hereby agree that I 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 inspection. If you 'ntend to obtain financing, consult with lender or an attorne before
commencingwo or r ordin our Notice of Commencement.
C �
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA �1 ], Lu STATE COUNTOFt/ 1OY FLORIDA / ��/
COUNTY OF �/ l 1..
Theorg ing instru ent was acknowledged before me The forgoing instr ment was cknowledged before me
this 0 ay of 12 20 Eby this tl� day of (D�1 / 20__G by
14v ) c 4Ae/'i v z) hz(-(7
(Name of person acknowledging) (Name of person acknowledging)
C��a2LV
SLA�' 4
(Signature of Notary Pu ic-State f I a (Signature of Notary Pub'c-State of r'
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced//*E1
Type of Identification Produced
e /
Commission Nof r) 2(DXV� JEATHER VIZZO Commission No. I bd�b eaPEATHER VIZZO
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA STAT=OF FI ORIDAComm#FF176266 Comm#FF176266
Revised 07/15/2014 Expires 11/13/2018 -20E t�� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS