HomeMy WebLinkAboutApplication ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 0-i
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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
IN
s.
Address: 9950 S OCEAN DR 1003
Legal Description: MIRAMAR ROYALE UNIT 1003
Property Tax ID#: 4502-703-0044-000-1 Lot No.
Site Plan Name: Audrey Ohnikian Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 1 Accordion Shutter
Additional wor to be ertormed under this permit-cneCK all appy:
HVAC Gas Tank F]Gas Piping �M
Shutters Windows/Doors
❑Electric ❑Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7171.00 Utilities: Sewer E]Septic Building Height: 160'
Name Audrey Ohnikian Name: Michael Heissenberg
Address:9950 S OCEAN DR 1003 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-229-5599 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not 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 raeeNing your Naice of Commencement.
s
—Signature of Owner/ TsseeiAgent Signature ofContractor/ricensLg Holder
STATE OF FLORIDA ) STATE OF FLORIDA
COUNTY OF �_ L�t I COUNTY OF Lt i l
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
thi�D�_ day of l,t l l j 20 (�by this l"day of J�\,A 1 20 by
Michael Heissenb6rg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florid ) (Signature of Notary Public-State of I r' a)
Personally Known OR Produced Identification Personally Knowt� OR Produced Identification
Type of Identifica lob' n Produced Type of Identification Produced
Commission N . 0 IL* (Seal) HEATHER VI mmission NK� )�Oc�� 'My eayEATHER VIZZO
�pRY o NOTARY PU LIC o/ 0, NOTARY PUBLIC
IDA « ,
°C _ FF176266 t 2 Comm#FF176266
Revised 07/15/2014 ,si i CirE 111131201819i� Expires 11/13/2018
kCE190 Exp'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS