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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: a '%L0 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)462-1578 Commercial X Residential PERMIT APPLICATION FOR: Shutter POPOJ=© lfPRC+1/ MENT LtJCATIC ` x s w ....a.; ;, , . „ z Address: 9650 S Ocean DR Apt 1605 Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1605 I Property Tax ID#: 4502-610-0145-000-4 Lot No. Site Plan Name: Block No. Project Name: Erickson Setbacks Front X Back: X Right Side: Left Side: DTAII_EO DESCRIPTION OI= R Y 74rf K. i Install 2 accordion shutters �QNSTRUCTItV INFORa ATIONIN y ' ... Additional wor to e erformed un er t is permit—cneck all apply: 11HVAC Gas Tank Gas Piping Shutters L1 Windows Doors ❑Electric 0 Plumbing Sprinklers M Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 7,625.00 Utilities:In Sewer❑Septic Building Height: OWNER/_, S—EI='„ r k C£ NTRA TOR.,.. �a Name Michael Erickson Name: Michael Heissenberg Address: 9650 S OCEAN DR 1605 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 No.630-677-6607 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$2500 or more,a RECORDED Notice of Commencement is required. X r"r554 �f tNF���i ATI�3N���.� _3*...;.ate a ...._. _._„_,DESIGNER/ENGINEER: MORTGAGE COMPANY: XX Not Applicable Name: Tilteco Inc. 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. ISt. 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 to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. s Signature of Owner/Lessee/Contractor as A t for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF St.Lucie The focigoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me this A day of 'Qi 20 2-by this day of 20 by Michael Heissen4g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known x OR Produced lcl fn liofic��� Personally Known x OR Produced Identification Type of Identification Produced tPRYAs ,.T. ���RI Ir. Type of Identification Produced Q ' oy ZpRY Taylor O'Brien TATE OF FLORIDA n^���pn On Sao t Ass Commission No. af11 Commission No. �7�lJ�K >(,`1QS@�jrARY PUBLIC Cofnm#GG958999 's y s��vice t��6 Expires 2/17/2024 W ,� STATE OF FLORIDA `NE19�� Expires2/17/2024 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i I