HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Numbers.
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Buildin g P ermit 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
PROP-OSE' . .. .i� I� VE .ME E.UCATI4N : _,. �``;
Address : 9550 S OCEAN DR 808
Legal Description : ISLANDIA I CONDOMINIUM UNIT 808
Property Tax ID # ,, 4502...601 .,...0072-000-3 Lot No .
Site Plan Name : Block No .
Project Name : Kelly
Setbacks Front Back : X Right Side : Left Side :
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C�t I P 71 0N C} K
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Install 1 accordion shutter
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F-O'RI1ftA1"t �A d iti na worktobe e orme under this' permit — c ec a apply :
HVAC Gas Tank Gas Piping Shutters a Windows/Doors
Electric Plumbing Sprinklers � Generator � Roof � Roof pitch
Total Sq . Ft of Construction : Sq . Ft . of First Floor.
Cost of Construction ,: $ 3 , 426 . 00 Utilities : Sewer Septic Building Height ,.
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�'OR :
Name Paul & Charlotte Kelly Name : Michael Heissenberg
Address . 9550 S Ocean DR Apt 808 Co mpany : Expert Shutter Services
City : Jensen Beach State : FL Address ,. 668 SW Whitmore Dr
Zip Code : 34957 Fax : City : Port Saint Lucie -- State : FL
Phone No . 847-612-*2445 ------- Zip Code : 34984 Fax : 772 -871 -0990
E - Mail : 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 $ 2SOO or more, a RECORDED Notice of Commencement is required .
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SUPf� ��tt� � l�� ��tSTftUCT"itl� Lll�t LAW ( N � C� R !!%I �T�O EEPE
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DESIGN ER/ENG I NEER . _ Not Applicable
N a meMORTGAGE COMPANY: Not Applicable
: Tnte� ���.
Name :
A d d re s s 631,55 N W St SuRe 305
C 'I"ty Virginia Gardens Address :
State : FL City :
Zip : 33166 Phone1 State :
Zip : Phone :
FEE SIMPLE TITLE HOLDER : x Not Applicable BONDING COMPANY -*.
Name : Not Applicable
Name :
Address : Ad d ress :
City :
City :
Z ip : Phone : & - -
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Zip � P hone :
certify that no work or installation has commenced prior to the issuance of a permit .
St . Lucido q
e 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 Ass
in consideration of the rantiong o ociation and revi ew your deed for any restrictions which may apply .
pmit, I do hereby agree that I will , i n 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 accesso ry 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 attom �i bef commencin work o ore1
our No � e of Commencement .
Signature of Owner/Lessee/Contractor as Agent 6r Owner Signature' of Contractor/License Holder S
STATE OF FLORIDA � 1 , �I � STATE OF FLORIDA
COUNTY OF � iLJ1 COUNTY OF
The f r oing instrument w s acknowledged before me The forgoing instr e t was cknovyledged before me
this day of V 20 by t hi s d a y of �, V 20
NONE by
Michael Heissenb4rg
Michael Hsissenberg
( Name of person acknowledging ) ( Name of person acknowledging )
( Signature of Notary Public- State of Florida ) Signature or Notary kbiic- State of Florida )
Personally Known OR Produced Ide ntification PersonallyType of Identification Produced Known � OR Produced Identification
W .& W- 9:11444,QPr.�—, Type of Identification Producedayiumi ki 'L-ii it-,
- -
(� �°�pRY
Commission No. �� OTARY PUBLIC �(�(
ESTATE OF FLORID Commission No . ` ( Sea l )
Comm# GG958999 P�OZARYq �O Taylor o ,8
nen
o � NoTA
s�MC E A9� Expires 2 /'
S _rATE Revised 07 F FLORIDA
E I Comm# GG958911rl
REVIEWS 4U24
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVI EW REVIEW REVI EW DATE REVIEW REVIEW REVIEW
COMPLETE
INITIALS
668 S ,, W, WHITMORE DR .
E � PORT ST 'LllCIE , FL 34984
SHUTTER S RVIC S INCR (772) 871 - 1915 (800) 749d.- 9056
" we `re faking Ths Shutter IndustryEv Storm " FAX 772) 871 - 0990
Paul & Char lotte Kelly 10V 8/20 Paul & Charlotte Kelly
9550 S O cean Drive Unit 808 DEVELO P 9550 S Ocean Drive Unit 808
Jensen Beach . FL . 34957 ' Islandia I Jensen Beach . FL . 34,957
• 847 . 612 . 2445 • OWNER C- cip ��
I L I k 91 *:1 eq Le-1
t
29911 X 9811 BALCONY AREA , IVORY ., HV ACCORDIANS $ 3 , 426
I i �
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1
� TOTAL
$ 3 , 426
SHUTTERS MEET ALL LOCAL BUILDING CODES . APPROX . DELIVERY 14- 16 WEEKS
FIVE YEAR WARRANTY FOR PARTS AND LABOR. QUOTES ARE VALID FOR 30 DAYS . DEPOSIT I � 1 , 14 1
SHUTTERS MUST BE MAINTAINED PROPERLY ( SEE MAI NTENANCE INFO . ) . 140
BALANCE I 2 ., 285
Email to : texaschar@aol . com
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NOTICE OF COMMENCEMENT
Permit No . Tax Folio No.
State of Florida County of St . Lucie
. ie 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.
Leg I Descr*i tion of P opeqY,: ( and Street address if available) :
� �
General description of improvement : Installation Of Hu rricane Shutters
Owner inf mation or Lessee information if the Lessee contracted f or the im rovement :
Name �A A
Add ress �-
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 Luci*e 34984 Phone Number: (772 ) tstIA915
Surety ( if applicable , a copy of the payment bond is attached ) : Amount of bond : $
Name and address : Phone number:
Lender Name : Phone Number :
Lender' s address : X o M CO,
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nco rnZU)
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Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by SE o o „ re
A m713 . 13( 1) (a ) 7... Florida Statutes , z � �
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_Name : Phone Number : �, w � 03
Adress : o D ; 0 _
omp
In addition to himself or herself, Owner designates of , <
to receive a coF � o x
U* enor's Notice as provided in Section 713. 13( l ) ( b ) , Florida Statutes . � W o
Phone number of person or entity designated by owner :
o� o m
Expiration date of notice of commencement : ( the expiration date may not be before the completion of construction and final P Ym0
contractor, but will be 1 year from the date of recording unless a different date is specified ) m 0
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WARN I NG TO OWN ER : ANY PAY ME NTS MADE BY TH E OWN ER AFTE R THE EXPI RATI ON OF TH E NOTI CE OF COM M E N CE M ENT ARE Ci 0
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IMPROPER PAYMENTS UNDER CHAPTER 713 , PART I , SECTION 713, 13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWIC �
IMPROVEMENTS TO YOUR PROPERTY ,, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFOR
INSPECTION . IF YOU INTEN D TO OBTAIN FINANCING , CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WOF
RECORDING YOUR NOTICE OF COMMENCEMENT.,
Under penalty of perjury, I declare that I have read the f regoing notice of commencement and that the facts stated therein are try
my knowledge and belief.
( Signature Owner or Lessee , or Owner' s or Lest
s Authorized Off icer/ Director/Partner/ Manager
VN
Pi—
( Signatory' s Title/Off ice)
The foregoing instrument was acknowledged before me this I � day of V 20A
By as OU) fo r
Name of Person � Type of authority ( e . g . officer, trustee) Party on behalf of whom instrument was executed
Y Taylor O'Brien� a Personally known_ or produced Identification 06
( Signature of Notary Public - State of Florida ) a� � NOTARY PUBLIC
�+ STA7F OF FLORIDIN
( Print, Type , or Stamp Commissioned Name of fa L ��m� GG958999 Type of Identification produced � U �-
��N� 19�� Expires 2/ 17/2024