HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO (M� UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: y I IO I mZ(, 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: 10680 S Ocean DR Apt 510
Legal Description: ISLAND CREST CONDOMINIUM UNIT 510 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0057-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Hargis
Setbacks Front X Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 1 accordion shutter
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit — check appy:
HVAC 11 Gas Tank Gas Piping Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 609.00
SFt. of First Floor: _
Utilities:cnSewer Septic
Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name Kevin S Hargis
Name: Michael Heissenberg
Address: 10680 S Ocean DR Apt 510
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 561-504-0551
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:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Callexpert@aol.com
State or County License: 16572
it value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
Name: '—
Address: 6&% lw 36th st sute 305
City: v C-rdens
Zip: 33166 Phone:
Applicable
State: FL
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not Applicable
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 inspection. If you intend t9 obtain financing, consult with lender or an attorn�q before
commencinia work o,L. 3�p�-yrour Nopte of Commencement. /
Signature of Owner/Lessee/Contractor as Agen'f6r Owner I Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA I f
COUNTYOF , �� �COLIINTYOF
The foIr� oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
Ill
this day of �U �� 20 acknowledged
this I � day of 1yl { 20 _ by
Michael He� 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 \L) OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
Personally Known �i _ OR Produced Identification
Type of Identification Produced
Taylor O'Brien
NOTARY PUBLIC Commission No.
STATE OF FLORIDA
Expires 2/17/2024
(51* r O'Brien
> NOTARY PUBLIC
Comm# GG958999
Expires 2/1719MA
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