HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
A x RECEIVED JUN 21 7916
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
III 1/IP;ftOEMENT�I®CATI�N °a
Address: 10600 S OCEAN DR 201
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT201 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-517-0018-000-7 Lot No.
Site Plan Name: Linda M Pollick Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 4 Accordion Shutters
CONSTRU"CTI30NINFORMATI®N > At
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Additionalwork to ben a orme un er t is permit—check all that appy:
HVAC Gas Tank Gas Piping ❑Shutters Q Windows Doors11 /
Electric 0 Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 6560.00 Utilities:0_Sewer Eleptic Building Height: 1:20
NO 111,Wyk, R.
10
Name Linda M Pollick Name: Michael Heisenberg
Address: 10600 S OCEAN DR 201 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.724-584-7318 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: (v50)Z
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
PPrFI v c- im 21 ?f11Ei
SU':PPLEIVIENTAL'COzNSTRUCTION=LIEN LAW INFORyMATION : ;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteco,lnc. Name:
Ad d ress: 6355 NW 36th St#305 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: _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 t obtain financing, consult with lender or an attorne before
commencingwork or re din ur N ce of Commencement.
s
_Signature of Owner/Le see/ gent Signature of Contractor/LicLInse HoIcYer
STATE OF L COUNTY OF COUNTY
C l� COUNTY OFSTATE OF ORIDA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiD--day of ��A NIL , 20 Lby thi�bay of -C�L/1 + UC 120 by
Michael Heissen4g Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flo )) (Signature of Notary Public-State of F ri
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced
+ Type of Identification Produced
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Commission NaP 17(� (e V_ r;�
aIYEATHER VI ZO Commission ) �Oj (o
OTARYPUBLIClaRY,�s�( ,�}rHER NOTARY PUBOo: STATE OF FLORID o 5
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ST T-F OF FLGIRIBA
Revised 07/15/2014 sVE AcJV Expires 11/13/2018 W�,A $�Comm#FF176266
SCE 19� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS