HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 13E ACCEPTED
Date : Permit NUMber :
s
......
Buil d in g Permit Application
Planning and Development Services
Building and Code Regulation D iv is ion
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462ml578 Commercial X Residential
PERMIT APPLICATION FOR : Shutter
__. _77 ..7:
PF� P{� S E Me. pR Q�lE a �1T LC3GAT4 N , ;
-------------------
Address : 9550 S OCEAN DR 1810
Legal Descriptio n : ISLANDIA I CONDOMINIUM UNIT 1810
Property Tax ID # : 4502-601 -0174-&000-�8 Lo# No .
Site Plan Name : Block No -,
Project Name : Singh
Setbacks Front Back : X Right Side : X Left Side -,
PE
- -- ----------- -
.Va
DE`�AII� EU DES RIO.RKD" '''
Install 2 accordion shutters
_d d
0:: IS �-------U �T� QI�} INFOR �I (�C r� �
Itiona war tobe e or.. . ...... .
me under t i s permit - c ec a app y :
HVAC Gas Tank Gas Piping �.l Shutters � Windows/ Doors
E lectric 0 Plum ing Sprinklers � Generator Roof � Roof pitch
Total Sq . Ft of Construction : S . Ft . of First oor .
Cost of Construction : $ 10 , 446 . 00 utllities : Sewer � Septic, Building Height ,
'.�T CONTRACTO'R " -ilk
: '��� --------------
Name Mohan & Harbans Singh Name : Michael He*issenberg
Address : 9550 S Ocean DR Apt 1810 Company : Expert Shutter Services
City : Jensen Beach State : FL Address : 668 SW Whitmore Dr
Zip Code : 34957 Fax : City : Port Saint Lucie State . FL
Phone Na. 703-869-2211 Zip Code : 34984 Fax : 772 -��
E - M a i 1 : Phone No ., 772-871 - 1915
Fill in fee simple Title Holder on next page ( if different E - Mail : Callexpert@aol . com
from the Owner listed above State or County License : 16572
If value of construction is $ 2500 or more, a RECORDED Notice of Commencement is required .
...
�t� TR�1 Q �I U-E� MAT 10 !V y ......
-
DESIGN ER/ ENG I NEER : _ Not Applicable
l
N a Ppe : TIN teco Inc. MORTGAGE COMPANY. x Not Applicable
Name :
Add re ss : 63, 5 NW 36th St Suite 305
C *Ityu Virginia Gardens Address :
State : FL Cit�/ :Zip : 33166 Phone : State :
Z '' p Phone :
FEE SIMPLE TITLE HOLDER : X N o t appl ica ble BONDING COMPANY : Not Applicable
Name : Name :
Address: Ad d ress :
City: City :
ze
i p : Phone : Zip : Phone :
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 subj ect 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 o'f Commencement may result in your paying twice or
f
improvements to your property . A Notice of Commencement must be recorded and posted on theobsitej
before the first inspection . If you intend t obtain financing , consult with lender or an attorn q before
commencin work O our No e of Commencement .
P,
Signature o# Own er/Lessee/Contra ctor as Agen r owner "'
Signature of Contractor/ License Holder S
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ V 1 - �� �i C: I ` wm� COUNTY OF _ <1 � dF
The foro i n g i n s t r e t �nraS a cfcnowledge before me The forgoing instrument was acknowledged before me
th '1*S . day of ��1 � 20 �by this day of Zp �, by
Michael Heissenb4rg
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 Iden ti f icat ion
Type of Identification Produced Type of Identification Produced
Commission NoP O�pRYsy1orien� ea OBrq
Commission No . jkRYo , NOTARY PUBLICaljaylor O'Brien
7...4S.IAT OF FLORIDAcoe °g NOTARY PUBLIC
Y
Y � `' �'" � STA F El . n [R-IL)
Comm# GG958999- W
T F
2 C01-nm# 9 99
Revised 07/ 15 / 2014 E I9�0 Expires 2/ 17/2024 Wsi of � y��
Expires 2/ 17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE REVIEW REVIEW
COMPLETE-
INITIA
NOTICE OF COMMENCEMENT
Permit No . Tax Folio NO & �� � 00
State of Florida County of St ., Lucie
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement .
L �� pe�cription if P e r d Ire t address if available )
�a r �
General description of improvement : Installation Of Hurricane Shutters
Owner infor tio or Les�� i f mation if the Less e ontrac�ed f o�th im r yement :
Name
Address �LN
Interest in property:
Name and address of fee simple titleholder ( if different from Owner listed above) :
Contractor' s Name : Expert Shutter Services , Inc
Contractor Address : 668 SW Whitmore Dr . , Port St Lucie 34984 Phone Number. -
Surety ( if applicable, a copy of the payment bond is attached ) : Amount of bond : 5
Name and address : _ Phone number : (A
rnX 0 A � a `o
hmrnZvf
C) M
Lender Name : x 0
Phone Number: o o
-- z � 0m
Lender' s address : � N �, *�
m Cn
n
0
Persons within the State of Florida designated bV Owner upon whom notices or other documents may be served as provided by ! o D � z =
713 . 13 ( l) (a ) 7 ., Florida Statutes : 0 rn Rj
r"
0
t0 M
o Name : Phone Number : o o
Address . o
W T
O 00 �
In addition to himself or herself, Owner designates of _
to receive a cc ° � �
Lienor' s Notice as provided in Section 713 - 13 ( 1 ) ( b )- , Florida Statutes . K �
Phone number of person or entity designated by owner: 0
c
z 1
n n
jp
Expiration date of notice of commencement : ( the expiration date may not b before the completion of construction and final payi- 0
c
contractor, but wil l be 1 yea r f rom the date of record i ng u n less a different date is spec if ied ) _ A
1
WAR N I N G TO OWN ER : AN Y PAY M ENTS MADE BY TH E OWNER AFTE R TH E EXPI RATI ON OF TH E N OTI CE OF COM MENCE M ENT ARE
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I , SECTION 71113 FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWI
IMPROVEMENTS TO YOUR PROPERTY . A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFO
INSPECTION . IF YOU IN VEND TO OBTAIN FINANCING , CONSULT WITH YOUR LENDER nR /1N ATTORNEY BEFpR [ COMMENCING WC
RECORDING YOUR NOTICE OF COMMENCEMENT .
Under penalty of perjury, I declare that I have r
my knowledge and belief. d the foregoing notice of commencement and that the facts stated therein are true to the best of
job
( Signature of Owner or Lejcsee , 'om�r Owner' s or Lessee ' s Authorized Officer/ Di rector/Partner/ Ma n age r
( Signatory' s TItle / Off ice )
The forego i ng instrumen t was acknowledged before me this ZC� day of O 7 0�
By as ow V11 lleoepe for
Name of Person Type of authority ( e . g . officer, trustee) Party on behalf of whom instrument was executed
�\Z �y q Taylor O'Brien Personally known_ or produced Identification,,
( Signature of Notary Pubic - State of Florida ) ct�' sod NOTARY PUBLIC
or
( Print, Type , or Stamp Commissioned Name of
ot
STATE OF FLORIDA Type of Identification produced
• • `. .�" a Comm# GG958999
Expires 2/ 17/2024