HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:� ' �1" ���� Permit Number:
RECEIVED
�s
Building Permit Application DEC 0 9 2016
Planning and Development Services
TING
Building and Code Regulation Division Lucie ounty,
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPQSED tIVIPROVEMENT.LOCATION
Address: 10600 S Ocean Dr Apt 501
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT501 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-517-0048-000-6 Lot No.
Site Plan Name: Pericles Kokenos Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
3
DETAILED DESG t1PTIWOI+WORK:
Install 1 Accordion Shutter
CONSTRUCTION INFORIUTATION:
Adde eItIonalor to � under this permit—
OM
_app Y:
❑ GasTank Gas Pip g Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 927.00 Utilities: Sewer Septic Building Height: 110'
OWNER/LESSEE CONTRACTOR.
Name Pericles Kokenos Name: Michael Heissenberg
Address: 10600 S Ocean Dr Apt 501 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.203-615-1655 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 CONSTR:UCTION LIEN LAUV INFORMATION -
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 thepermit 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 inspec ' you intend to obtain financing, consult with lender or an attorney before
commencing work of recordft your No ' e of Commencement.
- s
—Signature of Owner Less a/Agent Signa a of Contracto Lic se Ho de
STATE OF FLORIDA / LAC ,e STATE OF FLORIDA
COUNTY OF (� I COUNTY OF C�
The r oing instru ent was acknowledge�j before me The f rgoing instru ent was acknowledged before me
this =day of �Q/ 201-by this� 'day of �CQ M 20 �L by
Michael Heissenb¢rg Michael Heissenberg
(Name of person acknowledging) (Name of person ack owledgin(gD&b4k�� 9LA,1�40 )
v '"1/
wl
(Signature of Notary P lic-State of F o - ) (Signature of Notary Pu lc-State of FI
Personally Known 7 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type
Type of Identification Produced Producerd,
Commission NF J /W d�1 al HEATHER VIZZO Commission No FT J �L)` � 4-sNT' HEATHER VIZZO
�gAR ?p ) ,C
�+ o„ NOTARY PUBLIC 2f• ��NOTARY PUBLIC
ESTATE OF FLORID
2-9,1 ;STATE OF FLORIDA
Comm#FF176?_6 Cr 19 Ex r
Revised 07/15/2014 �si�,c`Ag�°� Expires 11/13/2018 E Expires 11/13/20,1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS