HomeMy WebLinkAboutSigned ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/7/2021 Permit Number:
r
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) 462-1.578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION: _ ���
n,
Address: 9500 S Ocean Drive #906
Legal Description. ISLANDIA II CONDOMINIUM UNIT 906(OR 1150-2432)
Property Tax ID #: 4502••602-0080-000-5 Lot No.
Site Plan Name: Dunn !+ __- _ _ Block No.
Project Name: Dunn _ `-
Setbacks Front_ _ Back: x _ _ Right Side: _ Left Side:
AILED DESCRIPTION OF WORK:T
Installing 1 Accordion Shutter (After the Fact)
NSTRUCTION INFORMATION:
— ----
itionaT workto-be �er�'orrned 6TOer ih,ss permit c�iec a apply
OHVAC Gas Tank E]Gas PipingShuttersI Shutters Windows/Doors
11 Electric Plumbing Sprinklers F1 Generator F]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ $4_852_00 Utilities:[]Sewer Septic Building Height:
77
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Name Judith Dunn Name: Michael Heissenberg
Address: 9500 S Ocean Dr #906 Company: Expert Shutter Services
City: Jensen Beach State: FL Address: 668 SW Whitmore Dr
Zip Code: 34957 _ Fax: 772-871-0990 City: Port Saint Lucie State: FL
Phone No. 772-229-5533- 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: Permits@expertshutters.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Tilteceinc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
City: State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: 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 t obtain financing, consult with lender or an attorn q before
commencingwork o ' our No e of Commencement. y�
Signature of Owner/Lessee/Contractor as Agent Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA, „
COUNTY OF �� f ���� COUNTY OF ��
The forgoing instr n6nt was acknowledged before me
this I day of Ulf 20 JLby
Michael Heissenb&g
iivame or person acKnowieaging )
-W,
(Signature of Notary Public- State of Florida )
Personally Known ! OR Produced Identification
Type of Identification Produced
Commission N
Revised 07/15/2014
The forgoing instrumen was acknowledged before me
this dayof � 20 'Zk by
Michael Hsissenberg
(Name of person acknowledging— V—�
)
(Signature of No ry Public- State of Florida )
t,1)
Personally Known OR Produced Identification
Type of Identification Produced
NQTARY PUBLIC Commission No.
ATE OF FLORIDA
Comm# GG958999
xpires
or O'Brien
NOTARY PUBLIC
STATE OF FLORIDA
Expires 2/17/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ESS EXPERT
SHUTTER SERVICES, INC.
'We're Taking The Shutter Industry By Storml'
—Ift 41m,
BILLING INFORMATION
Dunn,16-1 -\
60 Sawmill Ct,
Elma, NY 14059
INVOICE
DATE 11/1912004
CONDO
INSTALLATION ADDRESS
Dunn, !144y�
9500 S. Ocean Dr. #906
Jensen Beach, FL 34957
Islandia II
INVOICE #
. . ..................... . ... . . .....
PHONE I
PHONE
TERMS
DUE DATE
13393
772-229-5533
716-652-5787
Due on receipt
11/19/2004
QUANTITY
DESCRIPTION
AMOUNT
1
Dade County Code Approved Ivory Accordian Shutter System 672 x 96 Balcony Area
5,410,00
LESS DISCOUNT/insurance Deductible -Per Mike
-558,00
Shutters Are Dade County Approved. Delivery Time Approx 16 Weeks, Five Year
Warranty On Parts and Labor. Shutters Must Be Lubricated Every Six Months to Protect
Warranty.
No Deposit Required per Mike.
Job: Corn PJ40on Date:3/7/05 Paid Balance Of $4852,00 On Visa Thank You.
SPECIAL INSTRUCTION:
SALES REPRESENTATIVE
DATE
PURCHASER
TOTAL
$4,852.00
MH
1111912004
DEPOSIT
$4852.00
BALANCE
$0.00
V
. ... ...........
BUYNES RIGHT I OCANCFI.
1111S IS A HOME SOLICITATION SALE, AND IF YOU 'DO NOT WANT THL(K)ODS OR SrRVICE. YOU MAY CANCEL I HIS A(,REE-.Mt--,Nl'ilYPRON'I])ING WRITTEN NOTICE ro-1`14ESE.I.LER IN
PERSON, 8YTLLFKA.M,ORRY MAIL THIS NO1fICr, MUST INDICATE THAT YOU DO NOT WANT THE GOODS OR 5EKV14CFS AND MUST BE,DELIVERED OR POST MARKED BEFORE MIDNIGHT
OFTHE THIRD DL ' BUSINESS DAY AFFER YOU SIGN THIS AGREEMENT. W YOUCANCKTHIS AGREEVEN 1,TRI, SELLH(M.AY NOT Kr. -"ALL OR PART Or ANY CASH DOWN PAYMENT
HALANCEDUE, UPON COMPLETION. ALL CHECKS PAYABLE TO EXPEKI'SHUTTER SLRVICFS INC. Wt, RESERVE: THE RIG14TTOAOD ON, 15%PUR MONTH ON ANY OVERDUT, INVOICES
668 S.W. Whitmore Drive, Port St Lucie, FL 34984 - (772) 871-1915 - (800) 749-9056 - Fax (772) 871-0990