HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D at e Permit
F• I r
PP
j1pY/
Ul ermit A ica ion
Planningand Development Services
Buildingand Code Regulab"on Division
2300 Virginia Avenue, Fort P 34982
Phone : ( 772 ) 462 - 1553 Fax: ( 772 ) 462- 1578 commercial X R
PERMIT APP Shutter
-- ��.-r..—�-__�_______�,+a�r��r�••��.e+tf+�■w�ti.■r� _ __. _._ ._ ._.._ _ .. ... .. _, _ .a-- - " .. .._ ,'�.:-'� .5 .. _ - � .F ... - -_ 3:�.''�' :S� ~��4 '1���5h',�;� ���' �'����I� ��'Sr "
•4•r.. - '._ti: -rr{� � � - �'= - ''Y-' titi '�} ::�:��,;`:,.: .�,;•.• \'.'- 'ti+r'�, ti ?-� li, ',�`, �L �:+f�'.���`, �'���'�45'�'�'�'�':':'' �' �h'��I
... ... .. .. � i .. ... f. _ •�' S._ F,'�.'�: •,,'.''' '. .Y.., ,V.� .ti� y} 5} h_• �( ��'' 1 ��' �� i����L
_ 'F ' ,��•'•r+x � � 11•�}sr v --� {` �:5� �;i� �"�'�. .�t.'�s'�a,,1�r;�• �.,.' S �Y
.. � - ._. '--� -v'+Y _ _.__- •;•..ti•Y.���. '��� .r,t•'• �'r k '� 5 ;"�� l+'•;"�"� ■ i a� ��� t;�'� ,1"J,1 �L� 1 Ll`',
;r _fir{• 'r1. ?- { 1'=Y' .'-Y- C�'.Y'■''.•
F 'S� }a �1�•�•
_ R - ,r r14•r•r;�••• ��r•r'-r�•�•5'•� -k�i'•-•Y•4
B Iding PPI t
N FOR
:.r - � ��':r-}•� "•s' •' .-}:-•: ;. _ ��Q}¢r �� �!� ��' ���i. �!•': .�'_"':�••'+ y,
ti � .. r.. __._-rY}' - �:•`r..k w'�L�,•�, ��••.� � .� - __v_ y 1 _ i������,..}+�'�•. .,��`.�Y{;,�!.��,�!�,:�•:�t-.:.■�.�. -.
--P
_ �{. 1'�;F' �L . L r�:'' nr__'= .•Y.- �'�.����� •�F' 'tip''':n: ''��' •; � _ti.,•' •"�'
1' i ~L 1 i3 '__'{ _- 1 yy�F• 1'F I'•' �'�1'�':' �'��'i I'fa a� F�, 1
�- _ r ti _ .. .•��•.�}�;• .... ..... .. f.. r''�'7�'. .. ,7�r}��y5 _ •�•�ytiti r - :77a_:4
Add ress : 9550 S OCEAN DR 1104
Legal Description@ ISLANDIA I CONDOMINIUM
Property Tax I D tt : 4502-601 -0098-000- 1 Lot No .
Site Plan Names. Block No .
Pro • Vallej p�
0 jo
Setbacks Front X B a c k -op Right Side Left Side :
.. _ •�5'� ... ... .. .•. .. _ r .. _ .. �$ '{ 7� 7 {} } r}} }° k:�a Zia};'• L 1'' K .... -.ti
1. '�Y J'Y,''F'��!'• �'1�1�1� y } - 1 1
I
_ .:--•- --.._. .. } •1 �� �S'r�}._ �• _tom
• _ ti _ S-- C , ;1`PT1,-0N, - -:0 -F-
' ••s. .. - _. _ - •- _ - .... ... _ , - - _ J'�,•'4• �'y•t''xy�M�'I��`,Y`�yy{, .:,�.;•' 'Ilt { ;':LL
I -L
........
'f1'f4�1'f`•'+itii•'.,. - - , .. , ".. ." _ '. _ - - .. _ .. .. —__��.�i.��.4r.Kdi+ii•F�-I-FFF
` -_,. �. .� .,. ..,., •'•:. - -• - +.wia� •--------r-�=.�.�.�r'.+r r •tin tir+,.a.Install 2 .r.....
i
actor 1 r� shutters
--------------------
_ .. - - � ... .... - -J• -.�-.r - •- -}-. � �� r-. ..i� I••� �;rr. ,. -i• •r-�r r_:rr�• a•' ? �. � ._ _ y` - - . .{?'1_ _ - _ !.
}�}� .. -.. - ..... .... ...... ......... ..... •' '� r- '•' 44: •. I .. .-. - .. ..
... r 5 1 � t }•• r : .-. _ ,�:•h-� Lr+� + tL I r� .. .. •• ... .. .. .r• i .
_ ..
.ti
_'A
... htil•.ti,r� .,51 �':'• h .'�'.'.�.'�r Y _ _ — .��� �. Saar--- - --'1-'--'--- i - I— -
'7 J•hIJ �V7 ' - - h _ _
ormedthisicheck all apply :
HVAC Gas Tank Gas Piping Shutters Windows / Doors
Electric PlumbingGenerator Roof Roof pitch
Total Sq . Ft of Constructione. First Floorm.
Construction .i10390 -000
Cost of Building
y F*t+
'T RACTO R 4:
0
Name Nancy
__ __ sera •.+-•
... _, - -.....- .. .. .. ..,1..'{'.,.�'. f.'.K'-..-f.'-..-..-�'JL'.'._+.'L •f.'. ... r ... .. .. ti r .. .. .. 1 r M' + r ....
rr•'i �.{, may,}.
i
f _ i F {•L '_Y1 hY�Y �'��' iJl
.urrer,a r+,...■i-r.+���•r.-err '
G Vallejo Michael Hei` ssenberg
Address . many .
ExpertShutter Services
Jensen Beach FLCity * - State : ress : Whitmore
4
Zip Code : 34957 FL
State .
772-285-8336i772-871 -0990
Phone No . Zip fie . Fax *
E - Mail : Phone N . 772- 871 - 1915
Fill in fee si ple Title Holder on next page If dalfferent Mai
from the Owner listed above ) Stateor County License :
If value of construction is r more RECORDED Notice Commencementis ir� ,.
17,
S�'� lU �tL � � STR �3C1`�t� t41 L1 � N L.'.A1tU I �t , -
I .
maw-W
DESIGNER/ ENGINEER : _ Not Applicable MORTGAGE COMPANY : X Not Applicable
Name : T'Itceco Inc. Name :
Address : 6355 NW 36th St Suite 305 Ad d ress :
City , Virginia Gardens _ _ _ State ,, FLq Now= City : State :
zi p ; 33166 Phone : _ zip : Phone :
FEE SIMPLE TITLE HOLDER : X Not Applicable BONDING COMPANY ., _ Not Applicable
Name : Name .
Ad d ress : Address :
City : City :
Zip : Phone : Zip : Phone :
certify that no work or installation has commenced prior to theissuance of a permit .
St. Lucie Coun ty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confli ct with any applicable ' Home Owners Association rules, bylaws or ancf 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 befo re
com encin work o our No e of Commencement .
L000000
S
Signature of Own er/Lessee/Contractor as Agent r Owner S ignature of Contractor/ License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF I%NOW V . COUNTY OF NEW
The for diong instru t'llwas ackno ledged efore me The forgoing instrument was acknowledged before e
this day of � 2 0 y this � day of � Y, � U`Q� " m
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 � J OR Produced Identification Personally Known _ � OR Produced Identification
Type of Identification Produced Type of Identification Produced
q Taylor O' Brien
Commission No . ommission o
\ ��l b�, NOTARY PUBLIC C N . ^ rtTl "1`� ptARYq ( S�I�r O 'Brien
Q
STATE OF FLOR DA o °� NOTARY PUBLIC
am A n atiS TA I C)rho% Mb - P.
Comnig uuzzioz,
44
Revised 07/ 15 / 2014 NCE �9 Exp'ires 2/ 1712024 s��cE 19��� COmrn# GG9119989
Expires 211712024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
CO M P LETE
INITIALS
t
'Hri W MORE DR.-
PORT Smi .,
SHUI r'L'=R SERVI;:��ES
A749-9056
7w - aie V-
�ih- nff FAX 772) 871T. -0990
+ i
Ala*
NANCY VA%I.Lr-.,..JO 9 ,02 -'NANCY VALLEJO
ofl 020
9550 S OCEAN ` OCEAN--A DR #1104
} JEfNSEN 34- r
+
P-r.p .
lob
Ask Akt--- 7 !SLAt�DIA NS4wm"NS-oEAC.H-,., FL 34957
-72 �� 3 36 0
OWN E R
-------------------------- ---------
pr
WINDOLN, SRC*a=-bt IST FL $7619
"02w X 16T-
VMMW-
# dr
- tdh
PICDES MIVAY LLD SHU RS
f _
-MIA �FRiA L
y
r }
■
■
1
r
f
1
�1��.••_TFi�•.y 3iiIM�� � 1
...w�--Fay:.-.-.F.,......t+rr..•�� iNi�........+.�F.a�,..r>r.._.
y 3 gh
TAL 41 $ 1 ,390 1
SH UTM R-S MEET AL Lp 7
. 0
FPVE YEAR WA;tPJWTY FOR PAR S AMD LABOR.,
r;Ays, 22DEPOSITi $463
SHVrrERS MUST BE PROPEal Y i-SE-c M-aaz
14107
BALANCE,.
k S927�
%
•.+r .�--�_.•.�_��f��+-�,.�•,r•�r--ram—�.i—:�,�.�
A
fm,U
aw—-mat- W EM
rt
A.
-/0
If. F /A-2 0. f
+ r RRjrm.: ! � �` C
d
f ���{ sslecom