HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFP MUST E/C`OMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 6 a lA Permit Number: ��` O_"—
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Building Permit Application OCT 2 4 10115 �_J'
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 ResiBW.I..
PERMIT APPLICATION FOR: Shutter
PROP$t0 M ROVEMV NT LiDCAT[ON
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Address: 9900 S OCEAN DR 908
Legal Description. OCEANA OCEANFRONT CONDOMINIUM II- UNIT 908 AND UND SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-503-0092-000-8 Lot No.
Site Plan Name: Edward Moore Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK k
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Install 3 Accordion Shutters
MNSTRUCTION INFORMATION , u
it onal work to be nertormed under this permit–check all apply:
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator 1:1 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3505.00 Utilities: _Sewer O Septic. Building Height: 140
C►WNER/LESSEE , CONTRACTOR
Name Edward Moore C�Cn% Name: Michael Heissenberg
Address:9900 S OCEAN DR 908 Company: Expert Shutters
city: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.508-308-4051 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.
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PPLEMENTAL CONSTRt�CTI"Ql LI1 LAIN 1NFORMATfQN:
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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 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 N tice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you i nd to obtain financing, consult with r or an attorn efore
commencingwor e n u�r Notice of Commencement.
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_Signature of Owner/Lessee/Agent at, of Contr or/License I-Inlifer
STATE OF FLORIDA , STATE OF FLORIDA -
COUNTY OF L�.� CI Q COUNTY OF L,u Ct A
The for Zing instrument was acknowledged before me The forgoing instrumentwasacknowledged before me
this -day of �-� b LIP 20 &by this =day of l�TO ibe(_ ,20 Ifo by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of FI d I(Signature of Notary Pyblic-State of r' )
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Personally Known OR Produced Identification Personally Known ✓/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NOTT �O')u' ( )*HER VIZZO Commission No. (Seal)
Y4�s0 NOTARY PUBLICHEATHER VIZZO
F FLORIDA c �OSARY4,SS'
a a` STATE OF FLORIDA
Revised 07/15/2014 '= � Expires F11/13/2018 ""s �T '`
` ��Comm#FF176266
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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