HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `U Uzow Permit Number:
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
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 OCEAN DR # 1201
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1201
Property Tax ID #: 4502-610-0111-000-7
Site Plan Name:
Project Name: Avriett
Setbacks FrontX Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 3 accordion shutters
Lot No._
Block No.
CONSTRUCTION INFORMATION:
it onal work to b rformed under this permit — check all
that
appy:
HVAC Gas Tank F]Gas Piping I � I Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Ei Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 9,401.00
S�Ft.j of First Floor: _
Utilities: Sewer El Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Casey E Avriett
Name: Michael Heissenberg
Address: 9650 OCEAN DR # 1201
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 517-395-9469
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
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: 16572
IT value or consiructnon is :�t5uu or more, a KtwKULD Notice of Commencement is required.
DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: mine. Name:
Address: 6355 Nw 36th st suite soy Address:
City: Virginia Ganem State: FL. Cit
y' State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Applicable
_Not
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 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 inspecioIf you intend t obtain financing, consult with lender or an attorn before
commencin worML"' our No ' e of Commencement.
��
s
Signature of Owner/Lessee/Contractor as Age ri r Owner
Signature of Contractor/License Holder
STATE OF FLORIDA I^ 1
STATE OF FLORIDA
COUNTY OF �, VlC
COUNTY OF ft
The for oing instrument was acknowledg efore me
this day of -� u n�i 20by
The for oing instru—m�en�t wa acknowledged before me
this day �►
of �,L� 20 by
Michael Heissenb&g
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging )
(Signature of Notary-Public- State of Florida )
(Signature of Notary Public- State of Florida)
Personally Known 1)0 OR Produced Identification
Type Identification
Personally Known OR Produced Identification
of Produced
Type of Identification Produced
Commission No. 4 �1R TgyIor O'Brien
Y3&ARY PUBLIC
Commission No. a vL j� I)Taylor O'Brien
-STATE OF FLORIDA
�� n NOTARY PUBLIC
S STATE OF FLORID
Revised 07/15/2014 y�e Expires 2/17/2024
` ?Comm# GG958999
9�e Expires 2/17/2024
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
VEGETATION
SEA TURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS