HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! Permit Number: 14®7/y •
Building Permit Application RECEIVE®
Planning and Development Services
Building and Code Regulation Division SEP 2 2 2016
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSEt) lMP 'OUEMEIVLOCATIflN• '» . r. rTf, w. . . � 8s . . ,.-w -. h
Address: 10680 S Ocean Dr 201
Legal Description: ISLAND CREST CONDOMINIUM UNIT 201
Property Tax ID#: 4511-516-0018-000-4 Lot No.
Site Plan Name: Carmen L Sherbert Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DI TAILED[51* CRIPTION ORO,
Install 3 Accordion Shutters
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CQNSTR[1CTIC}ItIINFORMA71 }N�x �`f
Ac1clitional work tobene or'meunder this permit—check ia appy:
❑HVAC L_J Gas Tank Gas Piping Shutters ❑Windows/Doors
F]Electric 0 Plumbing Sprinklers [Generator El Roof
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Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5935.00 UtilitiesSewer Septic Building Height: 110'
OWJ�E /LESSE, "gqz � ONTkACTC}R , x ,''
Name Carmen L Sherbert Name: Michael Heissenberg
Address:1'0680 S Ocean Dr 201 1 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code:1 34957 Fax: City: Port St Lucie State:FL
Phone No!772-229-0026 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.
MSQPPtEMENTAL CONSTRUCTION LIEN LAW INFQRMATION
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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: i Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 fina cing, consult with lender or an attorney before
commencing wor*-ciT-reCording your N ice of Commencement.
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_Signature of O e see/Agent f Signature of Contractor/License Hol r
STATE OF FLORIDA � I ���,�� STATE OF FLORIDA
COUNTY OF T COUNTY OF l�
The for ng instr ment was acknowledg before me The for oing instru ent was acknowledgedr fore me
thiday of .QMbQr� 201k by thijO -day of t 20 lJ by
Michael Heissenbikg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)Q
0dWZ[kAAi Q�/),A�
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(Signature of Notary P lic-State of F ri (Signature of Notary Pu Ic-State of Flor'AJO
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commissi6n NF ) (o� *"oV 9 HEATHER VIZI Commission No'1• LJ 7_a U �pS ej l) HEATHER V►Z2
NOTARY PUBLI64� °y NOTARY PUBLIC
TATEQE El 0140A TA'r
Or M RIC
Comm#FF176266 a;"�'' `J Camm#FF176266
Revised 07/15/2014 'c 1 Expires 11/13/2018 °�F1e7s Expires 11/13/20
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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