HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �p �� Permit Number:11
A 70in
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
:.PROP:QSED tNJPROVEMENT LOCATION ;
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Address: 10680 S OCEAN DR 602
Legal Description: ISLAND CREST CONDOMINIUM UNIT 602 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-516-0059-000-3 Lot No.
Site Plan Name: Robert W Johnson Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D.ETAILED DE�CRlP1'ION tJ�WORK ��
Install 1 Accordion shutter
;CO%TRUC"ION IN'FOR NiATION
y,
Additional
app
or to under this P —check a � Y:FIGas Tank S
W
indows/Doors❑HVAC inhutters
11 Electric El Plumbing Sprinklers _Generator
1:1 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2628.00 Utilities:Sewer Septic Building Height: 110'
OWNER/LESSEE =` COIWRACTC►R
Name Robert W Johnson Name: Michael Heissenberg
Address: 10680 S OCEAN DR 602 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-214-6962 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 CONSTRUCTION LI 'N LAIN INFORMATION;
E
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Walter-Fillit 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 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 with lender or an attorney before
commencing work oci-Qcordipglyour NAice of Commencement.
2;��2 s
_Signature of Owner/Lesse /Agent Signature of Contrac ' License Hol 'r
STATE OF FLORIDA ` L(AC,CI STATE OF FLORIDA ` ���l 11
COUNTY OF Vt COUNTY OF
The forgoing instrUl ent was acknowledgd before me The forgoing instrument was acknowledged before me
thisill day ofJ U � 20��o by this �—day of l/I 20 by
Michael Heissenbirg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary70R
ic-State of FI r' 6 r'OW
(Signature of Notary Pgblic-State of FI
Personally Known Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No$( s HER VI710 t �7 b HEATHO
qs Ta Commission N
qc o�N TA Y PUBLIC ° o NOTARY PUBLIC
a STATE OF FLORIDAFLORIDA
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Revised 07/15/2014 j4CRE 19�$ Expires 11/13/2018 !'s, �0�Comm#FF176266
ice r Expires 11/1312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS