HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/5/16 Permit Number:
' RECEI'."-7D '1AY 17 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
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Address: 10600 S OCEAN DR 1004
Legal Description: OCE:ANA SOUTH CONDOMINIUM II UNIT1004 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-517-0101-000-6 Lot No.
Site Plan Name: Nicholas P Wellman II Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Install 1 Accordion Shutter
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Additional work toe performed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers FIGenerator F] Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2641.00 Utilities:Sewer Septic Building Height:
OWNER/�ESS'EE = z < TRAC�zOR{-
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Name Nicholas P Wellman If Name: Michael Heissenberg
Address:8740 Baystone Cove Company: Expert Shutter
City: Boynton Beach State:FL Address: 1626 SW Biltmore St
Zip Code: 33473 Fax: City: Port St Lucie State.FL
Phone No.561-452-6447 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: \12 51
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
StJPRE E'MEN*TAL,CONSTR.UCTION lEN LA,W INF(JRMATION d 4a
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X_Not Applicable
Name: WaiterTiiiitJr. Name:
Address:6355 NW 36th St Ste 305 Address:
City: Virginia Gardens State: FI_ City: State:
Zip: 33166 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 attorriey before
commencing work or w..�orcljng your N96ce of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contracto /License r
COUNTY OFSTATE OF
J 1 \�� n I COUNTY OFSTATE OF ORIDA D 1 L��t�
The fording instrument was acknowledge before me The for oing instrument was acknowledged before me
Nay ay of 20 Iby this L=day of 20 f by
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(Name of person acknowledging) (Name of person acknowledging)
04 a)-)_ Sy�/D-
(Signature of Notary Pub ic-State of Florid (Signature of Notary Pyblic-State of F r' a
Personally Known OR Produced Identification Personally Known J OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VI Oo
_ oq�Y �� �N ° NO ARY PUBLIC
Commission No. �lyW Qq °o NOTARY PURI I�ommission No. o E OF FLORIDA
2 STATE OF FL RIDA f '' Comm#FF176266
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j"F E 14%b Expires 11/13/2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS