HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dates' a11d �r ra Permit Number:
• RECEP. 'D FEB 10 2016
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
PROPaSED``INM.I ROVEMENT LOCATION:`
Address: 10600 S Ocean Dr Unit 109 Jensen Beach, FL 34957
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT?AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-517-0007-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED dESCRIPTIOM'OF WORK: INK
Installation of one (1) accordion shutter.
CONSTRUCTION INFORMATTICIN:
Additional work toa er orme under this permit-c ec a a appy:
1]HVAC Ei 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: $ 2,632.00 Utilities:n Sewer 0 Septic Building Height: 70'
O NER/LESS CON1 RACTOR.
Name Doreen M Hopkins Name: Michael Heissenberg
Address: 10600 S Ocean Dr Unit 7 Company: Expert Shutter Services, Inc.
City: Jensen Beach State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34957 Fax: City: Port St. Lucie State:FL
Phone No.772-229-1947 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$2500 or more,a RECORDED Notice of Commencement is required.
�3WIIFRM�lT
�Jt,.fF''F�I� ME1T�1.,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tilteco,Inc. Name:
Address:6355 N.W.36th St.Sete 305 Address:
City: Miami State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection: If you intend to obtain financing, consult with lender or an attorney before
commencing work o ecordin our oti-ce of Commencement.
_Signature of Owner/Lessee/Agent Signature of Contractor/Lic nse Holder
STATE OF FLORIDAI �� I� STATE OF FLORIDA � LUAu�
COUNTY OF �` COUNTY OF '{
The nr_$oing ins tr e t was ackgowledged before me The f r�oing instru e7t�was acknowledg before me
this = day of t'U�( 20 �� by thissday of - 1J i'11iQ 20 by
l C -e- ! se �� C C2�_
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotaryPu ic-State of Florida) (Signature of Notary Pub'c-State of o d
Personally Known 7 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced-
JJ Type of Identification Produced
Commission (Seal) CommissionM
4 HEATZZO
4 9A HEATHER VIZZO NOTA BLIC
NOTARY PUBLIC +STATE OF FLORIDA
« -�STATE OF FLORIDA �; Comm#FF176266
Revised 07/15/2014 Comm#FF176266 74CE Ir Expires 11/13/2018
sWE Ir Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS