HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
12/8/15 Permit Number: 1,��oZ�� �� ��
!' II41'p RECEIVED
Building Permit Application DEC /9 2015
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
Address: 9900 S OCEAN DR 210,JENSEN BECH, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II-UNIT 210 AND UND SHARE IN COMMON ELEMENTS(OR 3638-290)
Property Tax ID#: 4502-503-0024-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installation of one (6) accordions.
--Additional �7
workto e e orme un er t is permit—check a appy:
HVAC Gas Tank ❑Gas Piping WShutters []Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 8,060.00 Utilities:In Sewer[]Septic Building Height: 70'
Name Daniel K Ebb Kelly Ebb Name: Michael Heissenberg
Address:4241 Warren Rd Company: Expert Shutter Services, Inc.
City: Franklin State:TN Address: 1626 SW Biltmore St.
Zip Code: 37067 Fax: City: Port St Lucie State:TN
Phone No.615-504-2642 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
Name: Tiiteco,inc. Name:
Address: Address:
City: Miami State: FL 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 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, 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 intend to obtain financing, consult with lender or an attorney before
commencing workor-riecaMng yojfr Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA L C�
COUNTY OF L u C I Q COUNTY OF
The fpii-going instrignent was cknowledged before me The f�rgoing instru ent was aSk�no ledged before me
this t t day of / 20 lby this `r�day of i'ti1 (Jr 20 by
(Name of person acknowledging) (Name of person acknowledging)
qtcl b_'k
Q /
(Signature of Notary Pu c-State of F o d (Signature of Notary Pu ic-State,�/!Vtla)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification )Produced Type of Identification Produced
Commission No / (904THER VIZZO Commission N��) 7�O ARr,� S ►THER VIZzO
r� NOTARY PUBLIC
NOTARY PUBLIC
_ -►STATE OF FLoRinA
ATEOFFIORDA
Comm#FF176266
Revised 07/15/2014 i,Ir�E 10r ExP F11/13 018 1e Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS