HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: '10 Permit 1<a Permit Number: l� —
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RECE1V7D JUNI 0 619016
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 IMPRQVEMENT t_Q;CATIQN ._.
Address: 10600 S OCEAN DR 1001
Legal Description.. OCEANA SOUTH CONDOMINIUM II UNIT1001 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-517-0098-000-1 Lot No.
Site Plan Name: Raymond J DeLucca Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
bErtAILED DESCR(PTIbN OF WORK
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Install 5 Accordion shutters
CONSTRUCTION INFORMATION £
it nnal work tobe nertormed under this permit—c ec all appy:
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7118.00 Utilities:Sewer Septic Building Height: 120'
OWNEftJLE55EE CONI"RAC'fflR ;
Name Raymond J DeLucca Name: Michael Heissenberg
Address: 10600 S OCEAN DR 1001 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.203-314-1021 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 LIEN LAIN INf�C3RMATfOI ,
pp MORTGAGE COMPANY: Not
DESIGNER ENGINEER: Not Applicable X t 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_mcord'ng yourMtice of Commencement.
s
—Signature of Owner/Lessee/Agent Signature of Contract r/Lic'nse Hold`r
STATE OF FLORIDA )) n STATE OF FLORIDA ' �
COUNTY OF leu Cl�e COUNTY OF C)�
The forgoing instrument s cknowledged before me The for Ang instrument was acknowledged/before me
A� � Q
this EL day of ,) 20 y this L day of 1 � 20 1cey
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
v ` .
(Signature of Notary�lic-State of Flori ) (Signature of Notary P lic-State of Flo d
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification-P-rroducedr Type of Identification Produced
Nl '" I /6a�� (Se IpEATHER VIZZO Commission�1 (7 b"""`�O (Seal)_
lotaRY4o'NOTARY PUBLIC a�gpR quo HEATHER VIZZO
n NOTARY PUBLIC
ao� ESTATE OF FLORIDA
Revised 07/15/2014 �- Comm#FF176266 `� �' Comm FF176266
s/NCE ASA Expires 11113!2018 �N g 9► Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS