HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6 Permit Number:
RECE1V7-D P,'IAY 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
PROPOSED II1PR01lEMENT LQCAT, pN <�
Address: 9600 S OCEAN DR 605
Legal Description: EMPRESS CONDOMINIUM UNIT 605
Property Tax ID#: 4502-620-0041-000-6 Lot No.
Site Plan Name: Michael J Vinyon Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETYAILED G1JCR)'PTION" 1\ s c y x a
,...fi,r�'�„.,, { ,. t,,3k. ..$a_?:_., �.�.ori. ..K .`
M
y
Install 1 Accordion shutter
CONSTRUCTION INFORMATION
Additional work toe Dertormed under this permit-check all appy:
E1HVAC 1:1 Gas Tank E]Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator F] Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3261.00 Utilities: _Sewer[]Septic Building Height: r
OWNER/LESSEE � y � �; ` � � yCONTRACTOR � { ,
Name Michael J Vinyon Name: Michael Heissenberg
Address:9600 S OCEAN DR 605 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-229-1381 Zip Code: 34984 Fax:
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.
SUPPLEMENTAL CQNSTRUCTION LIEN LAIN INFORMATION 4
":,s,.— .,,F,. .•X,=' .,.,. ,z,w, k��,i;2Y sOtt � 4�,3z k,.... )'_ tlf..,.s^6
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: waiterTiiiit Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: Fl_ 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 thepermit 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 wi -"r or an attor ey before
commencing work 9PI—ec-o–Ningyour Nolirce of Commencement.
j s
_Signature of Own Lessee/Agent Signature of Contract r/License H I er
STATE OF FLORIDA L U C� , COUNTY I
Y OF FLORIDA T. U
COUNTY OF40,
The forgoing instru �e t was acknowledged before me The forgoing instru ent was acknowledged before me
this }'day of L 20 Eby this l tlay of 1a 20 &by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publ' -State of i Va (Signature of Notary Public-State of Florida
Y
Personal) Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No'� / 14 (HEATHER VIZZO Commission�> ) 7(0 l9 taRY �T,�{ER VIZZO
MOARY PUBLIC OKI Y PUBLIC
c o STATE OF FLORIDA a STATE OF FLORIDA
Carrin 4 IFF 176266 Comr
Revised 07/15/2014 s�'bCE1010 Expires 11/13/2018 ME 1%1 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS