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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:-LU1=&_ �1\G Permit Number: ��O�S 'd140 RECEIVED MAR 04"1016 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 PROPOSE© I�YY!�P£ROVEIUIENTLOCATIN �k Address: 9400 S. Ocean Dr.#902 Jensen Beach, FL 34957 Legal Description. OCEAN TOWERS CONDOMINIUM B- UNIT902 AND UNDIV SHARE IN COMMON ELEMENTS Property Tax ID#: 3535-702-0065-000-0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: D 'AILEQ D CR111�N flI✓V�C?R �xr � ' 'i' Installation of ONE (1) accordion shutter. E , + �,.y COISTRUfIC� IFORl11t1`IN �. I € E .��. Yr, Additionalwork toe performed under t -checkispermit a appy: HVAC Ei Gas Tank Das Piping Shutters Q Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 1,808.00 UtilitiesSewer Septic Building Height: 170' OtNE LESS iw ARE E / �w4 � MIN- ACT, a CONTROR €E „ted �.,,�, . _��,�F��. ,� f Name J Peter Vancamp Barbara S Vancamp Name: Michael Heissenberg Address:9400 S Ocean DR Apt 902 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.772-229-6354 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. U� LEME� AL CC?N�5 Ft11faN LIEN ILI-llt/lU INFORMATION � � \ r ► � � �it� ���� �, � � s �� t,�, DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Tiiteoo,i��. Name: Address:6355 N.W.36th St.Suite 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 recordin yo' Notice of Commencement. s _Signature of Owner/Lessee/Age t Signature of Contractor/Lice se Holder STATE OF COUNTY OF �,u ,.n COUNTYOFSTATE OF ORIDA 5+' L' uC The for oin instr en w s ac nowled before me The forgoing instrument was acknowledged before me this�day of a 1 lCL 1(, 20��by this day of Y'V) >�� 20 by (Name of person acknowledging) (Name of person acknowledging__ '_Voo�)u ':�� ) (Signature of Notary P blit-State of FI ri r'(Signature of Notary Pu lic-State of F a Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced ,,,,((,,,, HEATHER VIZZO Commission NO-4 ��II ll�`�' (Seal) Commission No'� p4 ° N(GEAgY PUBLIC Ot gASS' HEATHER VI2ZO l- STATE OF FLORIDA ``a C Revised 07/15/2014 !STATE OF FLORIDA �Nce 191 Expires 11/13/2018 +� a Comm#FF176266 's e Fy REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS