HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10 Permit Number: - 0
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Building Permit Application OCTPlanning and Development Services 24 2016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 '""
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Resh 'ial
PERMIT APPLICATION FOR: Shutter
'PROP'OSED NT LtCATICi(� X 4 £#
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Address: 9550 S Ocean DR Apt 1403
Legal Description: ISLANDIA I CONDOMINIUM UNIT 1403
Property Tax ID#: 4502-601-0127-000-4 Lot No.
Site Plan Name: Shelley Thayer Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
OTAI[.ED DE �CR[PTION OF WORKAi
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Install 2 Accordion Shutters
N�TRU Ti N IN
CO S C } ORN�ATIOIV x
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Additional worK toe e orme under this permit—c ec a appy:
HVAC Ei Gas Tank []Gas Piping IzShutters Q Windows/Doors
Electric F] Plumbing E]Sprinklers E Generator 1:1 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1442.00 Utilities:cn Sewer[]Septic Building Height: 180'
Name Shelley Thayer Name: Michael Heissenberg
Address:9550 S Ocean DR Apt 1403 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-877-8277 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
11 value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S,(1&PPLEMFNIALC(7NSTRI1CTIaN LiN EA1lll 11VFORMAT[( N "
_ �.,.a.,, ' MORTGAGE
DESIGNER ENGINEER: Not Applicable X
Name: WalterTillit COMPANY: Not Applicable
Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: Fl_ City: State:
Zip: 33168 Phone: 305-871-1530 Zip: Phone:
FEESIMPLE 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 ob pin financing, consult with lender or an attorney before
commencing work or recolng your Notice,6f f Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA l STATE OF FLORIDA
COUNTY OF LJ�{ ( i COUNTY OF
The r ng instrtent was acknowledged before me The forong instr ent was acknowledged before me
this� ay of V Cl20 �by thiz�day of �Q 20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging (Name of person acknowledging
iOld
g
(Signature of Notary Pu lic-State of Flor d (Signature of NotaryPu lic-State of Florida
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
. t . HEATHER VZ0 �' 1 � ato ` rHEATHER VI'
Commission NoI a ion No.
ommss
NOTARY PUBLI
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_.!STATE OF FLORID . j o STATE OF FLO
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Revised 07/15/2014 Expires 11/13/2018 �koi 1et� Expires 11/13/2 18
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS