HomeMy WebLinkAboutBuilding permit appALL 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: 9500 S OCEAN DR 1705
Legal Description.. ISLANDIA II CONDOMINIUM UNIT 1705 (OR 3825-37)
Property Tax ID #: 4502-602-0159-000-0
Lot No.
Site Plan Name: Block No.
Project Name: Sudler
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installed 1 Accordion Shutter ; After the fact permit
CONSTRUCTION INFORMATION:
i](51iial work to 5a er orme un er t is permit - c ec�a app—ly: --
C�HVAC f] Gas Tank ❑Gas Piping LJ Shutters
Electric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: SC[. Ft. of First Floor: _
Cost of Construction: $ $1,829.00 _ Utilities: 0Sewer I Septic
QWindows/Doors
Roof Roof pitch
Buildine Height-
OWNER%LESSEE:
CONTRACTOR:
Name Cheri M Sudler
Name: Michael Heissenberg
Address: 5034 NW 112th WAY
Company: Expert Shutter Services
City: Coral Springs State: FL
Zip Code: 33076 Fax:
Phone954-224-8085
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)
If value of construction is $2500 or more. a RFrnRnFn ;u-+;..,, -.v
E-Mail: +� ��-�y�U (�{?r� , (6m
State or County License: 16572
- - - --._....-.................� � cyan cu.
1LStRUCTIiEIUORMAI`tt`
DESIGNER/ENGINEER:
,,.. . _... >
Not Applicable
�
Name: Tiltem inc.
_
MORTGAGE COMPANY:
X Not Applicable
Nam e:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Y
State: FL
City:
Zip: 33166 Phone:
Zip: Phone:
BONDING COMPANY:
State:
Not Applicable
FEE SIMPLE TITLE HOLDER: X 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 to obtain financing, consult with lender or an attorn�i before
commencing work o�t-�Ytf our NoAe of Commencement. ire / "
Signature of Owner/Lessee/Contractor as Agent: r Owner Signature of Contrartor
nse H
STATE OF FLORIDA t
COUNTY OF ( . L`ItCIt - __ l COUNTY OF STATE OF FLORIDA T
The f oing ins ment wacknowledged before me
this T a day of d �4 20 aby
Michael Heissenb&g
(Name of person acknowledging )
"'U''
(Signature of Notary Public- State of Florida )
Personally Known_
OR Produced identification
Type of Identification Produced
Commission No.
Revised 07/ 15/2014
The fo going instrument was acknowledged before me
this day of 20 26 by
Michael Hsissenberg
(Name of person acknowledging )
(Signature of Notary blic- State of Florida )
Personally Known )G OR Produced Identification
Type of Identification Produced
Taooeta8'Brien I Commission N
NOTARY PUBLIC
Comm# GG958999
Expires 2/17/2024
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
SUPERVISOR
REVIEW R
O'Brien
NOTARY PUBLIC
Comm# GG958999
Expires 2/17/2024
PLANS
EVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
0ESSEXPERT
, SHUTTER SERVICES, INC.
"We're Taking The Shutter Industry By Storml"
q�
BILLING INFORMATION W i --J
INVOICE
DATE 121112004
CONDO
INSTALLATION ADDRESS
jU(j tv 1 C,-11 v %
9500 S. Ocean Dr. 41705
Jensen Beach, FI. 34957
islandia N
INVOICE #
PHONE 1
PHONE 2
TERMS
DUE DATE.
13482��LI
lZ(��1"�i,;
Due on receipt
121112C04
QUANTITY
DESCRIPTION
AMOUNT
1
Dade County Code Approved Ivory Accordian Shutter System 672 x 95 Balcony Area
1,829.0C
Shutters Are Dade County Approved. delivery Time Is Approx 22-24 Weeks, Five Year
Warranty On Parts And Labor. Shutters Must Be Lubricated Every Six Months To Protect
Warranty.
Deposit Received 12/20/04 Check #376 for $1829.00, Thank you.
I Job Completion Date 8,131105
C
i�;Ivl
r
SPECIAL INSTRUCTION;
I
SALES REPRESENTATIVE
DATE
PURCHASER
TOTAL
$1,829.00
MH
1211J2004
/I
DEPOSIT
$1829,00
BALANCE
$0,00'
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668 S.W. Whitmore Drive, Port St Lucie, FL 34984 - (772) 871-1915 - (800) 749-9056 - Fax (772) 871-0990
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