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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /J Permit Number: ) b6�Dg7q RECEIVED D Building Permit Application Planning and Development Services AUG y p 5 2016 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 PROPOSE® IIUI�'R®\JEMENT LOTION' :�''�dsrF.���� Address: 9400 S OCEAN DR 604 Legal Description: OCEAN TOWERS CONDOMINIUM B-UNIT604 AND UNDIV SHARE IN COMMON ELEMENTS Property Tax ID#: 3535-702-0043-000-0 Lot No. Site Plan Name: Barbara M Nicholsen Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I&P®'ETAILED ®ESCR�IPTI®N QWORK � f° ;; '% - ` Install 2 Accordion Shutters qfflLNTRUCTI'®N itiona wor to e e orme un ert is permit—c eca tape y: HVAC Gas Tank Gas Pi in Shutters Windows Doors ❑ p g ❑ / Electric Plumbing ❑Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 2505.00 Utilities:In Sewer[]Septic Building Height: 160' OW R%LESSEES ` CONTRACTOR N t. Name Barbara M Nicholsen Name: Michael Heisenberg Address:9400 S OCEAN DR 604 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.772-345-1792 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. Sl1PPLE(�_IiIENTAL��C�©�N�STRCTI®N LI�E�N�A1111/ INxFORM,�ATION�y �� . - ��, �� � '�;5 DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Tilteco,Inc. 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 thepermit 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.J4ou inte d to obtain financing, consult with lender or an attor y before commencing work oy rr rclipfg youyNotice of Commencement. s _Signature of Owner/Lessee/Agent V Signature of Contractor/License older STATE OF FLORIDA ' ] FLORIDA COUNTY OF �/ COUNTY OF The f IN instrum t was acknowledged before me The forgoing instrumAnt was ac wledged before me this day of 20 �V by this 1 3 day of ti 1, 20 �by 1J Michael Heissenbi�g Michel Heissenberg (Name of person acknowledging) (Name of person acknowledgin cxc_a� (Signature of Notary Public-State of Flori a (Signature of Notary Public-State of Flo Ida Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. �(1�"� al)HEATHER VIZZO Commission N �; �e��ATHER VIZZO ��qaR� 0 NOTARY PUBLIC {:�,�F o TARY PUBLIC N LORI STATE OF FLORIDA i r. Revised 07/15/2014 ;r < C'xna�#FF1 7o2B6 �'�'f✓t:e tQI� Expires 11/13/2018 c�0 Expires 11!1312018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS