HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y�7�j
Date: Permit Number: 1 `03&69
RECEIVED~l� j ECEIVED
Building Permit Application SEP 2 2 .2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462711553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
ROPO5ED IIUIPROVEMENT LOCA101
9 it
Address: 9490 S OCEAN DR 1014
Legal Description: OCEAN TOWERS CONDOMINIUM A- UNIT1014 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 3535-701-0077-000-4 Lot No.
Site Plan Name: -lames Wilds Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRI�?TION CIF WORK
Install 1 Accordion Shutter
C�NSTRUCTIO�N INFORMATION
..,.s ��.. .. -.w.._.,. .. . F .,,..
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Acid itiona I worK toa er orme under this permit—c ec a appy:
HVAC ,< Ei Gas Tank Gas Piping �_Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:.$ 1796.00 Utilities: _Sewer[]Septic Building Height: 90
OIINER/LESSEE•.. ` E ,. _
,, ONTRACTQR
Name James Wilds Name: Michael Heissenberg
Address:9490 S OCEAN DR 1014 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 349571 Fax- City: Port St Lucie State:FL
Phone No.989-280-4306 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.
5UPPLLNIENTAL CON5TRl1CTI0:N LIEN"LA1tU INFO'RMAT'ION g � � , � �
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _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 TITLEHOLDER: 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.
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The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,I 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 insp 'on. If you intend t obtain financing, consult with lender or an attorney before
commen ' wor' or rg!cqrdiqg your Not' a of Commencement.
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_Signature of Owner/ essee/Agent Sign atu Rk_ef`Lontractor/LCcebe6 H61cler
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STATE OF FLORIDA STATE OF FLORIDA 1 j
!._.
COUNTY OF 1 COUNTY OF JT-_ uc f Q
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The forgoing instrument was acknowledged before me The forgoing instrument was acknow�ledged before me
thi s I±day of h l 20�by thio L qday of .Q M b" 20 L by
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Michael Heissen4g I 1 Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P blit-State of FI i (Signature of NotaryPub c-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No (S��gTHER V1710 Commission Nt� �p AARY SW11 riETHER VIZZO
a�gpRYR�sO NOTARY PUBLIC ��+, ARY PU6LIC
}' 8 fA'PE OF FLORIDA
Comm,#FF176266 a �; Expires 11/13/2018
Revised 07/15/2014 PCEISNj�Expires 11/13/2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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