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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: as �� RECE1'.' D J 2 7016 Permit Number: m 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 PtR®POSbED IMP�ROVElVlf,"OCA,10Il *fi a ', "` .. .� . 00 Address: 10600 S OCEAN DR 501 Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT501 AND UNDIV SHARE IN COMMON ELEMENTS Property Tax ID#: 4511-517-0048-000-6 Lot No. Site Plan Name: Pericles Kokenos Block No. Project Name: Setbacks Front Back: Right Side: Left Side: r Mt NNE01a14® ®ECRIPT�I�®bN Install 3 Accordion Shutters C®N'STRIJCTIQN IN7FORMATIp'.N Ya y <'if M , Additional work to e—e orme under this permit-c nec K a tat appy ❑HVAC be Tank ❑Gas Piping ❑Shutte rs ❑Windows/Doors Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 5870.00 Utilities: —Sewer FISeptic Building Height: C®�NT�RAC1`®R '... tl <*,e_'. t„ .ate.= <" Name Pericles Kokenos Name: Michael Heisenberg Address: 10600 S OCEAN DR 501 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.203-615-1655 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: 5� If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. y . a t, SIJ'PPLE11/IENTAL'CONSTRUCTION,LIEN LAW3INFffi RMATION: : tet DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Tiltecojm 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 int d to obtain financing, consult with lender or an attorney before commencingw ore din o Notice of Commencement. s _Signature of Owner/Lessee/Age Signature of Confrrctor/-LYense Hold r STATE OF FLORIDA �' u� STATE OF FLORIDA �L J uCOUNTY OF1, t COUNTY OF .fl , l� The forgojng instrum t was acknowledge before me The forgoing instrument was cknowledged before me this 1�'�ay of 20 LUby th 1 qday of 20 by Michael Heissenb�g Michel Heissenberg (Name of person acknowledging) (Name of person acknowledging) af� aaL�I) 96�� (Signature of Notary Public-Statef F i a) (Signature of Notary Public-State o I r' ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced _ Type of Identification Produced t Commission 4:T 1 W� (Seal)HEATHER VIZZO Commission NOYf�710Q1�1�0 (Seal) �ogAR b HEAT 0 NOTARY PUBLIC �6wyY gp© NOTARY PUBER LIC _ I A C,prnm#FF176266 aW®R =�STATE OF FLORIDA Revised 07/15/2014 .s� ^ �� Comm#FF976266 tine�0 Expires 1111312018 CE t9Ex ires 11/13!2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS