HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST_BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'Permit Number: V ��
''RECEIVED.
Wilding Permit Application MAR�b 5,020
Planning and Development Services permitting Department
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
p: C+PO�Et,..� 111t11 RGVEM�IVT LC►CATlflN
-._. .. _,
Address: 9550 S OCEAN DR 1508
Legal Description. ISLANDIA I CONDOMINIUM UNIT 1508
Property Tax ID #: 4502-601-0142-000-5 Lot No.
Site Plan Name: Block No.
Project Name: James
Setbacks Front Back: X Right Side: Left Side:
Install 1 accordion shutter
Haaitionai worK to oe ertormea Under tnis permit— cnecK all n apply:
E]HVAC F Gas Tank ❑Gas Piping Shutters Windows/Doors
1-1 Electric ElPlumbing ESprinklers ElGenerator . E:] Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First -Floor: ,
Cost of Construction: $ 3,415.00 'Utilities: 0 Sewer Septic Building Height:,
Name Jeffrey H James
Address: 662 Plainfield Dr.
City: White Lake State: MI
Zip Code: 48386 Fax:
Phone No. 248-240-4006
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: -668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915 ,
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of'construction is $2500 or more, a RECORDED Notice of Commencement is required..
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:_. Not Applicable
Name: Tiitecolnc..
Name:
Address: 6355NW.36thStSuite 305
Address: '
City: Virginia Garden's State: FL
City: State:
Zip:33166 Phone:
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 restriction's 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 lender or an attorney before
commencing work or rec-ending your Notice of Commencement. ---, _, ,%
Signature of Owner/Lessee/Contractor'as Agvf for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF Si. Lucie
The f going instru nt was acknowledged before me
this day of 2Usby
Michael Heissen4g
(Name of person acknowledging)
The forgoing instr e(n(,�t,,was acknowledged before me
this,X day of ey) 20 a by
Michael Heissenberg
(Name of person acknowledging,)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG258038 �p(NRYA eSrranon O'Shea Commission No. GG256038 apt V Shanon O'Shea
OTARY PUBLIC oQ o NOTARY PUBLI
+STATE OF FLORIDA o � STATE OF FLOF
Revised 07/15/2014
Expires 9/12/2022
Expires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS