HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/22/16 Permit Number: io4
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Building Permit Application ®�
Planning and Development Services
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Building and Code Regulation Division PEF:,J1IrfINC
2300 Virginia Avenue,Fort Pierce FL 34982 t Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED II""kOVEM;ENT`LOCAIION.
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Address: 9940 S OCEAN DR 201
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 201 AND.8625 PERCENT INT IN COMMON ELEMENTS
Property Tax ID#: 4502=502-0018-000-3 Lot No.
Site Plan Name: Angela Ruland Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 3 Accordion Shutters
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CO'NSTRUCTION INFORMATIONi �" `
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Additional work toe nertormed under this permit—check all appy:
❑HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 5731.00 Utilities: _Sewer Septic Building Height: LLy
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OWNERLESS`EE: ., ,; E�ONTRACTOR
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Name Angela Ruland Name: Michael Heissenberg
Address:9940 S Ocean Apt 201 Company: Expert Shutters
City: Jensen Beach State:FL Address: 1626 SW Biltmore St
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.610-462-4411 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-281-1915
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.
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SU'PPLEIVIEN; 51 CO'N8 kRU Ir0N LIEN LA1tV INFORMATION° x
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WaiterTiiiitJr. Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33168 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 or recordiQyourAfotice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contr r Li tense Holde
STATE OF FLORIDA � ���I/� STATE OF FLORIDA
COUNTY OF COUNTY OF
Th or oing instrui ent �s acknowledged before me The for oing instrument was acknowledgIrby
fore me
th 'day of r 20 1lV by �'day of {�1 �l ( 20
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(Name of person acknowledging) (Name of person acknowledggiing)
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(Signature of Notary P ic-State of FI r' K(Signature of NotaryPlic-State o o a)
Personally Known OR Produced Identification Personally nown OR Produced Identification
Type of Identification Produced Type of Identification Produced
i'I Commission No47) l�al6lo VrI,HEATHER VIZZOCommission No ` I) HEATHER VIZZO OTARYPUBLIC
NOTARY PUBLIC STATE OF FLORID
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:� 10Comm#FF176266 s����E 19�� Expires 11/13/2018
Revised 07/15/2014 reels Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS