HomeMy WebLinkAboutBuilding Permit Application ,I
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/15 Permit Number:- Be 3' c)Om
tt �
Building Permit Application
Planning and Development Services J
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 I
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
1
PERMIT APPLICATION FOR:
Shutter
aol osEo r> Rc v l > l l:®6,A ( F
,.V1.1
_
Address: 9940 S Ocean DR Apt 808 Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 808 AND .7875 PERCENT INT IN COMMON ELEMENTS
i
4502-502-0085-000-3
Property Tax ID#: Lot No.
Site Plan Name: I Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Sda-zi„`• H ,�:�ss1r�.,51afw £�.FDACO �"� U�JR
m p : uA° AM'A 'frKi`lYy.•�(h �+9h'}- rl E ..,
R E
r.c
Installation of three (3) accordion shutters.
i
TM
� N� R woTl
1)�I � Tt 1
l # t ft 4 4 y ,4 �`E € � 'pr J § 3.,1
eF,�>>,.t,._ 3s:Z«
o e e orme un er this permit—check a appy:
HVAC 17 Gas Tank ❑Gas Piping Shutters a Doors Windows,
Electric 0 Plumbing Sprinklers Generator E] Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3,492.00 Utilities:ln Sewer 0 Septic Building Height: 170'
t}1NNERfLIE,li E J4 �a E', CONTRACTOR: E
._ �
x K
Name Alberta D Eaton Charles S Cronise Name: Michael Heissenberg I
Address:9940 S Ocean DR Apt 808 Company: Expert Shutter Services, Inc.
City: Jensen Beach State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34957 Fax: City: Port St. Lucie i State:FL
Phone No.772 234-0249 Zip Code: 34984 i 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',1
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.
IE
1
P If
5 1A lElt C N� Rl1i�f I
IN IRIS
� #N' '.3 CSMA I��R �
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _.Not Applicable
Name: rite,Inc. Name:
Address:6355 N.W.36th St.Suite 305 Address: 'I
City: Miami State: Ft. City: l State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
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: oom 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 acid posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordingyour Notice of Commencement. I_
s
_Signature of Owner/Lessee/Agent S' ure of contr for/License'Ho er
STATE OF FLORIDA:�4STATE OF FLORIDA I
COUNTY OF Luc i� COUNTY OF .J r L� cl,
The going instru ent w s acknowledge before me The forgoing instrument was acknowledged before me
this day of / 20 )(O by this day of U���d 20 ( +�by
1M 1,C k aQ i 41, ei'S5- o
(Name of person acknowledging) (Nam f person acknowledging)
f
(Signature of Notary Publjc-State of to i (Signature of Notary P lic-State of FI d
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification!Producedil
(, _ (44 (o �o�pRY� HEATHER VIZZO iaRY o (HEffHER VIZZO
Commission ii�aoo RIOTARY PUBLIC Commission No � ����� la�o� ��++,,�yPUBLIC
R STATE OF FLORID ( J a STATE OF FLORIDA
Revised 07/15/2014
s/4 E t��e Expires 11/13/2018 s�ycE�s�e Expires 11/13/2018
I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
[INITIALS
'.i
II I�
II