HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: (+ � 1� Permit Number:
�t l RECEIVED JUN Z 12016
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 411JI,PROVEMENT LOCATION a
AIR
Address: 9400 S OCEAN DR 903
Legal Description: OCEAN TOWERS CONDOMINIUM B-UNIT903 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 3535-702-0066-000-7 Lot No.
Site Plan Name: Glenn Mangan Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION (JF UUORK f '
Install 4 Accordion Shutters
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CCONSTRUCTCyNXINFORNOA 'O'N }" ECf
Additional work to be nertormea under tispermit—check a 11 that appy:
HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3180.00 Utilities: _Sewer Septic Building Height: k Oo
OWmftN R%L'ESSEEk r; CONTRACTOR . t
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Name Glenn Mangan Name: Michael Heisenberg
Address:9400 S OCEAN DR 903 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.561-951-6590 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 L
from the Owner listed above) State or County License: (p 51�-
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SlJ`FPLEMENTAL'CON'STRUCTION=LIEN L�AU1/ IIVEFORIUTATION ;. ,
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tilteco,lnc. Name:
Address: 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 to obtain financing, consult with lender or an attorney before
commencing work or recor4ing yoVNoticeofCommencement.
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—Signature of Owner/Lessee/Agerft Signature of Confrad*&TLKense H de
STATE OF FLORIDA :5_ ]/I ' / ,'� STATE OF FLORIDA
COUNTY OF L l.Jt.l� COUNTY OF (�
The forgoing instrument was acknowled �{before me The or o ng instrument was acknowledged before me
th@ 15._.c+day of i l i�l, 20 1 kpby thi ) ay of �� �Q 20 1 by
Michael Heissenbkg Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
S�� C:V'VaAl��!
(Signature of Notary Public-State of Flori ) (Signature of Notary Public-State of Flori
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification-Produced Type of Identification Pro1duccjed/,,
Commission Nt ! _k� Se ATHER VIZZO Commission N61""-i- ��1ca�G'�0 l�11�
�ptpRY4 kip �ff �tNER VIZZO
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Revised 07/15/2014 s7ticctgt� Expires 11/13/2018 s7�'CE19�� Expires 11/13/2018
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