HomeMy WebLinkAboutUrban ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
FT.,: x.}t. .rv•
Permit Number:
Building Permit Application
Plonning and De eiop en t Services
Buflding and Code Re lotion Division
00 Virginio Avenue{ Fort Pierce FL 34-982
Phone: (772) 4 •-15 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
Commercial x Residential
PROPOSED IMPROVEMENT LOCATION-6..
Address: 9650 S. Ocean Dr. 1410 Jensen Beach, FL 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1410
Property Tax ID 4: 4502-1- 1 0-0- Lot N o.
Site Plan Block No.
Project Name: Urban
Setbacks Front Back. X Right Sidi, X Left Side:
DETAILED.- DESCRIPTION OF WORK:
install 3 accordion shutters
CONSTRUCTION INFORMATION:
Jdi'tional work to
IHVAC
IElectric
e pefformea
Gas Tank
Plumbing
Total Sq. Ft of Construction:Cost of Construction: $ 9t244.00
OWNER/LESSEE:
Name Martin J Urban
under this permit —check a
[:]Gas Piping
I: Sprinklers
nal apply:
I V( I
Shutters
Generator
0_2 Windows/Doors
Roof
. Ft, of First Floor:
Utilitie � Sewer : Septic Building Height:
Address: 9650 S Ocean DR Apt 1410
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone Na.610349654G
E-Mail:
dill in fee simple Title Holder on next page (if different
CONTRACTOR:
Narne: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 5W Whitmore Dr
Roof pitch
City. Port Saint Lucie State: FIL
i Code: Fax:772-871-0990
hors. 772-871-1915
F-Dail: Call c rl@ l-corn
r License:
1
fro the Owner listed above) , State r County -- - -----
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required i
''.
SUPPLEMENTAL CONSTRUCTION LIEN LAW. INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name: Tilleco Inc.
Address: 3 tip St Suite 305
City: i rginia Gardens State. FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: _ _ Phone:
_Not Applicable
MORTGAGE COMPANY: _Not Applicable
I Name:
Address:
City: State:
Zip: Phone:
BANDING COMPANY: Not Applicable
Name'
Address:
City:__
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a Permit.
t. Lucie ,Court makes no repre ntatIon that i granting a permit will authorize the permit holder to build the subject structure
which is 'in con I i t with n applicable Home Owners Association rules, bylaws or and covenants that may restrict or proh i hit such
structure. Please consult with your Home Owners Association and regrew your deed for any restrictions which nnay apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The f oI Io i ing building permit applicati ons a re exempt from undergoing a f ull con u rrency revie : room additions,
accessory structures,, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvement$ to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If pli in d to obtain financing, consult with lender or an attorney before
�rg commenNwvrk or r jn v once of Commencement.
Signature of dwner/l.essee/Cantractor as AgeXfor Owner
STATE OF FLORIDA
COUNTY OF s� Lude
The fa oing instruQnent was acknowledgeefore me
this , day of 20 1JUby
Michael HeEssenb q
1
(Name of person acknowledging
(Signature of Notary Public- State of Florida }
Personally Known X
R Produced Identification ---
Type of Identification Produced
Commission Igo. `1 c6m, A
Taylor 013r,
NOTARY PI
STAT41,
E_QFJ
Revised 07/15/2014
Signature of Contractor/License Hober
STATE Of FLORIDA
COUNTY OFS�. Lude,
The f r . of rig i n tr ment was acknowledged before rye
F . , Jf ,
thirday of I X V 2 0 by
iehe l Heiss nb rg
(Name of person acknowledging )
M
(Signature of Notary Public- State of Florida j
Personally Known x OR Produced Identification
Type of Identification Produced
rCflmmission No. C-1 91nqqq—
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SHUTTER SERVICES INC.
"'We're raid,g The sn+mer Industry By sta►m"
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SHUTTERS MUST BE MAINTAINED PROPERLY .1 (SEE MAINTENANCE INFO. .
Email to, rnar#y.urban@gmaii.cam
PAUL BARR V�,��
WWW.EXPERTSHUTTERS.COM
3
668 S.W. WHITMORE DR.
PORT ST LUCIE, FL 34984
r172) 871-1915 (800) 749-9056
FAX (772) 871-0990 n,
TOTAL
DEPOSIT
BALANCE
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