HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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 1801
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1801
Property Tax ID #: 4502-610-0161-000-2
Lot No.
Site Plan Name: Block No.
Project Name: Marsden
Setbacks FrontX Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 3 accordion shutters
CONSTRUCTION INFORMATION:
Ad d itiona I wo rk tote be un d e t his permit — c eck`_aTFM, appTy: o -or —
11HVAC Gas Tank F]Gas Piping U_ Shutters a Windows/Doors
11 Electric ❑ Plumbing 11Sprinklers0 Generator a Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 9.244.00
SFt. of First Floor:
Utilities:nSewer ESeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
---------
Name David S Marsden
---------
Name: Michael Heissenberg
Address: 9650 S Ocean DR Apt 1801
Company: Expert Shutter Services
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No. 973-219-1267
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.
DESIGNE ENGINEER:_Not Applicable MORTGAGE COMPANY: _ X Not Applicable
Name: Tiltecolnc. Name:
Address: 6355 Hw 36th st sufte gas Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
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 inspection. If you intend t obtain financing, consult with lender or an attorn before
commencingwork o our No ' e of Commencement.
s
Signature of Owner/Lessee/Contractor as AgeniAr Owner
Signature of Contractor/License Holder
(� (�
STATE OF FLORIDA ��
COUNTY OFy 1
STATE OF FLORIDA (+ r
I,` U C
t
COUNTY OF j
The fv Foing instrUmen w s acknowledged before me
this i_ day of `� 20 'Uby
The fo Ging instrument as acknowledged before me
this day of 1 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 OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced TayleF 018FORType
of Identification Produced
Commission No. t f•, �� NO R PUBLIC
1 j{
-STA FLORIDA
Commission No. O'Brien
try 9�r
DF
Comm# GG958999
0 oT NOTARy PUBLIC
NC Expires 2/17/2024
=STATE OF
Comm#
Revised 07/15/2014
s�N o2
GG958999
CE tee
Expires 2/17/2024
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