HomeMy WebLinkAboutBuilding permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `� Ll1 �Zo �" 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 S Ocean DR Unit 1809
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1809
Property Tax ID #: 4502-610-0169-000-8
Lot No.
Site Plan Name: Block No.
Project Name: Boyd
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 1 accordion shutter
CONSTRUCTION INFORMATION:
A-d-fc itional work to be nertormed under this permit - check all appy:
HVAC Gas Tank F]Gas Piping Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing ❑ Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,952.00
SFt. of First Floor:
Utilities: Sewer E1 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bernard Boyd
Name: Michael Heissenberg
Address: 9650 S Ocean DR Unit 1809
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 845-521-2902
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 vaiue or construcnon is >zbuu or more, a KtcUKutu Notice of Commencement is required.
Name: Tiltew Inc.
Address: 6355 rrw 36th st suite 3o5
City: Virginia Gardens
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
State: FL
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
Not Applicable
St.
is inoconflicty cttawith anyappliccableiHO eaOwnnersting a Associat Association rules,abylaws or and covenanitds that may restrict orproh bit 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 inspection. If you intendt obtain financing, consult with lender or an attorbefore
commencing work oPg-your NoVn�q e of Commencement. ire
Signature of Owner/Lessee/Contractor as Agen r Owner Signature of Contractor/License Holder
STATE OF FLORIDA�l r Ar i � COUNTY OF
I FLORIDA
COUNTY OF T l l v 1 UL
The for oing instrument was acknowledged before me
this day of 20 '
Michael Heissenb&g
(Name of person acknowledging )
q_f�
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of identification roddkuced
Commission No. �L�U 1 ��pB 1) Taylor O'Brien NOTARY PUBLIC
aQ
STATE OF FLORID
Revised 07/15/2014
Expires 2/17/2024
The for oing instrument was acknowledged before me
this day of- ;l`C. 20 Z� by
Michael Hsissenberg
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known _P OR Produced Identification
Type of Identification Produced
Commission No.
4T or O'Brien
KARY PUBLIC
STATE OF FLORIDA
Expires 2/17/2n24
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS