HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �,�. ' ���� Permit Number: '
610 Y C11.1
ECE
Building Permit Applicatio OCT lanning and Development Services C l 2 4 2016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Ltial
PERMIT APPLICATION FOR: Shutter
PROPOSED #IllC?RaVEMENT LOCATIfJN
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Address: 10310 S OCEAN DR 206
Legal Description.
OCEANRISE CONDOMINIUM APT 206 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-515-0014-000-3 Lot No.
Site Plan Name: Ricardo Monzon Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE- �ftIP1'I�NF WORK14106---i" ,f
:, ,,
Install 2 Accordion Shutters
CONSTRUCTION INFORNiATlO[tl .
Additional work toa er orme under this permit—check a appy:
HVAC Ei Gas Tank Gas Piping �_Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 839.00 Utilities:Cn Sewer O Septic Building Height:
hOWNER/LESSEE CONTRACTOR
u
Name Ricardo Monzon Name: Michael Heissenberg
Address:10310 S OCEAN DR 206 Company: Expert Shutters
city: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.786-387-6322 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpenPaol.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.
SUPP1. i1/IEI AL�gN5TRUCTIaN5L1F 1, W 1NFORMATI+DI f
M
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 int d to obtain financing, consult with nd ran attorn before
commencingwor ecin o Notice of Commencement.
a� s
_Signature of Owner/Lessee/Agent Signature of Contrac or/License Holder
STATE OF FLORIDA � �` LLA
STATE OF FLORIDA
COUNTY OF � C�-Q COUNTY OF
The forg ing inst ent was cknowledged before me The for ing instr/ulnentw\ass acknowledged before me
thisa6 Play of � � -e-/ 201(ab thi� ay of lJ�7V Y� r ,20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
4 4- 0L+w 2�'J n
0�-a W—�A�q -
(Signature of Notary Pu lic-State cVyida) (Signature of Notary Pu lic-State of Flo
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification ProducedType of Identification Produced
Commission Nof,Q 7(e)bG (Seal) Commission No. I �1 7�JG (Seal)
NRY4. HEATHER VIZZO HEATHER VIZZO
`�Sso NOTARY PUBLIC _ �ptF�RYq�tNOTARY PU131 IG°
a
-STATE OF FLORIDA o
� t,=M , ESTATE OF FLORIDA
Revised 07/15/2014 w a Comm#FF176265 Comm#FF176266
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Expires 11ii3t2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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