HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )) /�
Date: 12/21/15 Permit Number:J5/a- V'';1o�
RECEIVE®
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Building Permit Application DEC Z 2 2015
Planning and Development Services
Building and Code Regulation Division TING
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2300 Virginia Avenue,Fort Pierce FL 34982 Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 10600 S. Ocean Dr.,#204 Jensen Beach, FL 34957
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT204 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-517-0021-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Andress
Setbacks Front Back: t Right Side: Left Side:
DTAiLE® D RCRIPTIfN t)1= WORK� P� ,x � NO
Installation of three (3) accordion shutters.
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Additional work to e—e orme under t -checkispermit a appy:
HVAC be
❑Gas Piping Shutters []Windows/DoorsDoors
11 Electric 1:1 Plumbing Sprinklers M
Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 3,788.00 Utilities:n Sewer Septic Building Height: 160'
O1t1ERfl5 „ 1 �, , % CQNTRACTflR
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Name Andress, Beverly&Rodney Name: Michael Heissenberg
Address:3432 NE Causeway Blvd,.#404 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.772-225-5165 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.
511°P"* LEMENTAL eONSTR C:TIC•?N LIE:= SUU "N'07 R I1TIb
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiiteco,inc. Name:
Address: Address:
City: Miami State: F!_ 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 wor ordin ouy-;Notice of Commencement. 17
Signature of Owner/Agent/Lessee Signa ure dftAtractor cense Holde
STATE OF FLORIDA �� f J�� � �,� STATE OF FLORIDA �� �I „ �I
COUNTY OF l —� COUNTY OF L;(
The forgoing inst e t was acknowledged,ba�me The forgiing instr nt was a knowledged before me
this;,i�Zday of -Q/Y1 20 k9 by this day of .WY1 20Af y
(Y) l6hafl A ), 5-vPM
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota77-011
State of Florida (Signature of Notary7OR
c-State of Flo i a
Personally Known Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
I
Commission No. 7VJe�o iiRy&aIPEATHER VI2ZO Commission No.� �� 71�a1Oy4o(Sp I)THER VIZZO
Q on NOTARY PUBLIC oe NOTARY PUBLIC
ATE OF FLORID o STATE OF FLORIDA
Com .m#FF176266 1�z Comm#FF176266
Revised 07/15/2014 •S�NQE I%V Expires 11/13/2018 �cE�e Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS