HomeMy WebLinkAboutRalston ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPTED
Date.
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
Virg in la A ven ue* Fo rt Pierce FL 34-982
Phone: (772) - Fax: (') 462-1578
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION..
Commerdai X Residential
Address: 9650 S Ocean Dr 904 Jensen Bair, FL 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 904
Property Tax ID 0 - f1 -- - 0 - Lot No.
Site Plan Name: Block No.
Project Name: Ralston
Setbacks Front Back: X Right Side: -- -- Left Side:
DETAILED DESCRIPTION OF WORK:
Install 1 accordion shutter
CONSTRUCTIONINFORMATION:
iditional wor
❑ HVAG
Electric
to e er orme
Gas Tank
Plumbing
Total Sq. Ft of Construction: ---
ot of Construction: 1.0
under is permit — cheek a
Gas Piping
11 Sprinklers
apply:
Shutters
❑ Generator
, Ft. f First Floor:
Utilities: Sewer Septic
OWNER/LESSEEV.
Name BJ Ralston (TR)
Address: 425 Avoca Ave.
�4�y: Nashville State, TN
�
Zip Code: 37203 Fax. -
Phone No. 61 5-584-8569
E-Mai1:
Filf in feesimple Title Haider an next page ( if different
from the Owner listed ahar►e)
CONTRACTOR:
Windows/Doors
❑ Roof
Name. Michael Helssenberg
Building Height. -
Cornpany,• Expert Shutter Services
Roof pitch
Address: 668 SVV Whitmore Dr
city, Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 7 - 1-11
E-Mail. Callexpert@a!ol.com
State or County License;
If value of construction Is 5 or more, a RECORDED FADED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW'MFORMATIOU:
- - - ---- ------ . . . ........
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Na me: Tilteco Inc.
Ad d r : 6355 N V 36th St Suite 305
C i t y E f l fl l c``I GardensState: Ft.
ZIp: 32166 Phone: ---�
FEE SIMPLE TITLE HOLDER.-9 _Not Applicable
Name:
Address-,
City:
Zip: Phone:
Name:
Ad d ress:
city: State
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City-,
Zip% Phone:
I certify that no wcrk or installation has cc)r nenced prior to the issuance of a permit.
t. Lucie Count kes no representation that is grantinga perry -pit will authorize the permit holder to build the subject structure
which is in coy li t with any applicable Hone Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne Owners Association and review your deed for any restrictions which may apply.
ire consid ration of the granting of this requested pe,rmit, i do hereby agree that I wi11, i n al l respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building per- it applications are exempt f roan undergoing a full concurren review: morn additions,
accessory y tructu r ., 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 Commencer-nent 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
comrnencinR worlsi�cvf2 vou(Notice of commencement.
Signature of Owner/Lessee/Contractor as 4ent for owner
STATE OF FLORIDA
COUNTY OFS t. L u_l_
The f OkCIIC75t1` ent was acknowledged before me
this day of 1 _, 20 [,�.hy
Mich oel H ish erg b6-r q
(None of person acknowledging
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
�r�,���(��
Commission No. r � --� hTaykTaylorOB6en
NQTARYPUBLIC
NO,_t%q
STATE QF FLQRIDO
6
Revised 07/15/2014
Expires 211712024
S
Signature of Contractor/License Holde
STATE OF FLORIDA
COUNTY OF stI-Licle
The f ;going instrument was acknowledged before me
this d ay of 120 b
Michael He!ssenherg
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x__ _ OR Produced Identification
Type of Identification Produced
K-ATayfor(�4� � O'BI`i�tiCommission Na."iJ Ak
)NOTARY PU13L1C
STATE OF FLORI
Expires 2/17/2024
REVIEWS
FRONT
ZONING
SUPERVISOR I
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEV1!
REVIEW
REVIEW
REVIEVI!
DATE
CQMPLETE
INITIALS
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SHUTTER SERVICES INC.
PORT ST. LUCIE, FL 34984
Ci 72) 871 -1915 (800) 749-9056
"W"re Ting The Sher Industry By Storm
Iston
Drive.
risen Brach. FL.
2/13120
Princess
FAX (772) 871-0990
Jensen
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LITIT W10M. A I
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615-584o8569CONTAC-OWNER L OnI�l i
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BALCONY AREA BRONZE, HV ACCORDIANS
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DEPOSIT
$3.3667
$3,667
$ls221
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