HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB�IN)FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number: lJ (7
RECEIVE®
m
Building Permit Application AUG 15 2016
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 ! R $1700,'t
x. � . .
Address: 9940 S OCEAN DR 901
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 901 AND .8625 PERCENT INT IN COMMON ELEMENTS
Property Tax ID#: 4502-502-0088-000-4 Lot No.
Site Plan Name: Gregory M Lecorgne Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Va 1 n� "5" � 1_"0 tN
11C $�*x k .; ,
"
fiEDECRP1,'DETAIL
; _
Install 4 Accordion Shutters
„CONSTRU'CTI®,N I'N,F®R=11liA° f
i � asa.r,. a -vk�°fiw,�.
Additionalwork to e e orme under t —checkispermit a tMappy:
❑HVAC ri Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7376.00 Utilities:Sewer 0Septic Building Height: 110'
. Rq ®SVNER/ ®NR T :.
Name Gregory M Lecorgne Name: Michael Heisenberg
Address:9940 S OCEAN DR 901 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.214-684-5020 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: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SIJ,�PLEMENTAL C®N�'�S1�R��CT1®,�,�`,NLIEN IOW IiN�(JRIUI�ATI®N� � � ��
-+sa- x s+e+� �*'�.� q�'#�. ;_.��i� '`k .ra.?;. sx�a•,ta,.w tee, �..-�.m<= '°�,:I:.� ���-�-T�'¢..-,g, :'�. .�'HIS-P it.- Vic:� ,€.,.:.x ;�
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tiltewjnc. 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 in ion. If you intendAo obtain financing, consult with lender or an attorne fore
commencing w or r c our tice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Ho er
STATE OF FLCOUNTY OFORIDA :54, Lyic)'.k COUNTY OFSTATE OF FLORIDA \�C`^Q
The forg�Ing instrument was acknowledge before me The for�ng instrument wa acknowled e before me
this — %y of 20 � by thislP iday of X 20 by
Michael HeissenbE g Michel Heissenberg
(Name of person acknowledging) (Name erso acknowledging)
Ili �.
(Signature of Notary Public-State of Flori a) (Signature of Notary Public-State of Florida
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
r(
,�� NOTARY PUBLIC �'�' V�`Y`<-' THER VI710
Commission N a Commission No d��� Yq �se'��
o d STATE OF FLORI A is NOTARY PUBLIC
s Comm*FF17C,266 ����- 5 M STATE OF FLORIDA
Expires 11/13/2018 _ ;:.�y. Comm#FF976266
Revised 07/15/2014 `°��E�" Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS