HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
.. .. .........
Planning and Development Services
Building and Code Regulation Division
Permit Number:
Building Permit Application
1.300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
Address,, 9650 S OCEAN DR 1109
Commercial X
000004000r_#
Legal Description: THE PRINCESS OF HUTC1 IINSON ISLAND UNIT 1109
Residential
Property Tax ID #: 4502-610-00-109-L 000--0 Lot No.
S'Ite PName.*
Proj*ect N Los Pipes
Setbacks
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Install 1 accordion sutter
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A Td i iona ork to be pe rf o rm under thlipq permit check all app
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"HVAC
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Electric
.J Gas Tank
.. Plumbing
Gas Piping
Sprinklers
�I Shutters
*MR—.
Generator
Windows/Doors
Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 31952400 a ------UtI6 lities: Sewer Septic Building Height:
: 1
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Douglas Connie Pipes
Address: 1133 Sheffield PI
City: Lexington State: FL
Zip Code:. 40509 Faxi
Phone No. 859-221-9883
E-Mail.#
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
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CONTRACT-
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f: 1
Name: Michael Heissenberg
CompanyA Expert Shutter Services
Address: 668 SW Whitmore Dr
Roof pitch
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772 -$71-0990
Phone No. 772-871-1915
E-Mail. C,�illexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more,, a RECORDED Notice of Commencement is required.
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DE SIGNE R/ENGIN EERS Not App 11*ca ble r%IORTGAGE COMPANY X
Nampo Tiltem Inc. Not Applicable
AddresS*: 6355 NW 36th St Suite 305
CotY" Virginia Gardens State: FL
Z i p: 33166 Phone.•
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
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Zip: Phone:
Name:
Address:
City: State:
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BONDING COMPANY9
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Address:
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certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the perm"It holder to build thesubj-ect structure
which is in conflict with anX 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 Amendrnents.
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
commencing work o our No e of Commencement. ice,
V\
Signature of Owner/Lessee/Contractor as Agen
STATE OF FLORIDA
COUNTY OF
The forgoing instru
this day of
r Owner
ent was acknowled e me
20 �before
bv
Michael Heissenb6rg
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known, ri. OR Produced Identification
Type of Identification Produced
,,, c),i3rien
y
N—Wr
gssO ciiiiiiiijilTARY PUBLIC
Commission No. �`1J0 ll`1Q/�I�i��at
Revised 07/15/2014
E 01- 17Lk- MIUM
Com GG958999
pr NO T'A%b
1 Ex pires �
10,
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The for oing instrument was ack owledged before me
this �i� day of ICI VY��Q20 by
Michael Hsissenberg
{Name of person acknowledging }
S
(Signature of Notary Public- State of Florida )
Personally Known _� OR Produced Identification
type of Identification Produced
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