HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (^�
Date: Cn Permit Number: o I
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Building Permit Application
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 Residential
PERMIT APPLICATION FOR: Shutter
PR�pOSE13 IIVIPROVEIVfENT LOCATfQN
Address: 8800 S OCEAN DR 202
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM II UNIT 202
Property Tax ID#: 3535-603-0006-000-5 Lot No.
Site Plan Name: Joseph Berardesco Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
OETAILEb btSCRIPTION�OFWORI< t
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Install 2 Accordion Shutters
NSTRUCTIC}N[LO,
Additional work to e e oRrmMeAcl under
r t is p
ermit—check al apply:
HVAC Ga
E]Gas Piping �_Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3568.00 Utilities: _Sewer F]Septic Building Height: 130
CkWNER/LESSEE i3 °>' 2 s `;CONTRACTOR
Name Joseph Berardesco Name: Michael Heissenberg
Address:8800 S OCEAN DR 202 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.505-870-0543 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$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFC?RMATfON
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: walterTilli[ Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33168 Phone: 305.871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with le r an attorney before
commencing work orfeMrding ypOr Notice of Commencement.
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_Signature of Owner/Lessee/Aant Sig ature of Contr ctor Icense Holde
STATE OF FLORIDA + STATE OF FLORIDA ` )
COUNTY OF 54,; L✓ U C LQ COUNTY OF ,$', L Lt C I C
The fo�going instrument was acknowledged before me The forgoing instngnent was acknowledged before me
this I 1 day of �1Q CQ,M b1l', 20 LLby this day of Q 20 by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
9LJIL
(Signature of Notary P blic-State of ri ) (Signature of Notary Publ' -St Florida)
Personally Known OR Produced Identification Personally Known 7OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VI e HEATHER
IZZO
Commission No. �c, NOTARY PUBLI Commission No-R ) 7 NOTARY PUBLIC
STATE OF FLOI ZIDASTATE OF FLORIDA
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Revised 07/15/2014 Expires 11/13/2018 s��°rc��9►® Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS