HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� 1n�
Date: Permit Number: 60 b1 b tV T
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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
PROPOSED IMPROVEMENT L0 2 3
Address: 9400 S OCEAN DR 504
Legal Description: OCEAN TOWERS CONDOMINIUM B- UNIT504 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 3535-702-0035-000-1 Lot No.
Site Plan Name: Jeffrey A David 'I Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WOR
Install 1 Accordion Shutter
CONSTRUCTIGI�U INFORN(ATION
R, _1
Additional work to be nertormecl unert is permit-c eca apply:
HVAC Gas Tank Gas Piping 2 Shutters ❑Wind'ows/Doors
Electric ❑Plumbing Sprinklers 1:1 Generator F] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1724.00 Utilities: _Sewer Septic Building Height: 90'
OUVNERJLESEECONTRACTOR '� ,` _ t
Name Jeffrey A David Name: Michael Heissenberg
Address:9400 S OCEAN DR 504 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.786-493-4350 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.
SUPPLEMENTAL CQN5TRUCTION LIEN LAW INFQRMATION
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 Qr recording our Notice of Commencement.
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_Signature ck 0 ner/Lessee/Age Signature of ontractor/License [der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 20 _by this day of 20 _by
Michael Heisse4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I
5UPPL`EMENl'AL CN5TUCTIQN LIEN LAW INFORMATION g
«b. . .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: waiterrillit 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 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. If you intend to obtain financing, consult with lender or an attorney before
commencing work Qr recording our Notice of Commencement.
rf s
_Signature df O ner/Lessee/Age Signature of ontractor/License [der
STATE OF FLORIDA � ) / i STATE OF FLORIDA
COUNTY OF ,_�/— 1�UC 14 COUNTY OF
The or oing instrumen was acknowledged before me The for oing instrument was acknowledge Ibefore me
t ' �'day of pf'^J�/ 20]�by this day of 3-t' 20 �0 by
his
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
Q�f
40�&
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(Signature of Notary Pu lic-Stat o rida) (Signature of Notary Pub'c-Stafflorida)
Personally Known 7 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced Produced /
Commission No� C0�0 aSN�Y aI�EATHER VIZZO Commission No.`t'i" !'7] a 1 q eaNIEATHER VIZZO
QQ q OTARY PUBLIC �,, �, NOTARY PUBLIC
�p ESTATE OF FLORID o l STATE OF FLORIDA
om µ;."-' Comm#FF176266
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Expires 11/13/2018 `�ti tai Expires 11/13/2018
Revised 07/15/2014 P _'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS