HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \(z Permit Number:
RECEW-H JUIN 0 6 2016
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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
Pl�OPOSfD IMPROVEMENT"LOC ATIC)NrK x
M
Address: 10600 S OCEAN DR 1201
Legal Description. OCEANA SOUTH CONDOMINIUM II UNIT1201 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-517-0118-000-8 Lot No.
Site Plan Name: Scott A Carlson Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
CETAILED Dmf 1PTION OF3WORK
Install 4 Accordion shutters
Cf�NSTRUCTIC?N"INFORMATION
Additionalwork toa nertormed under t is permit—check k a apply: "
HVA C! Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6618.00 Utilities:Sewer ElSeptic Building Height: 120'
OWNER/LFSSI=E 4 CQNTRACTOR
r .
aK,
Name Scott A Carlson Name: Michael Heissenberg
Address:10600 S OCEAN DR 1201 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.616-821-6855 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.
SPPLEMENTALCON5IRUCTIN LIEN LAIN INERMATIQN: `g #
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WalterTillit 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: _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 recording our N ce of Commencement. 42
S
_Signature of Owner? essee/Agent Signature of Contractor/ /cense Hol e
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF 34% Lu u� k COUNTY OF , Lucit
The forgoing instrument was acknowledged before me The forging instrument wasacknowledgedbefore me
this j=�day of 20 l�by this�day of �l� f �-� 20 �by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) ( e of p son acknowledging)
(Signature of Notary Pu lic-State of FI ri ) (Signature of Nota7Pu ic-State of F ri
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification 'P1rJod-uucce_d/ Type of Identification)Prrloduced
Commission No�-F—1 ! lfJw (Seal) Commission No- �t�'/ / b k_Ygss H Taa��iER V1710
etP$YAr HEATHER VIZZO r o� NARY PUBLIC
sa NOTARY PUBLIC STATE OF FLORIDA
-+STA ,,- Ccmm#FF 175266
Revised 07/15/2014 WWcEwllf
Comm#FF176266 �ticf 1910 Expires 11/13/2018
Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS