HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �'rn1
Date: Permit Number: G .o v
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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 APPLgICATI(ONjj FOR: Shutter
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Address: 9650 S OCEAN DR 1606
I Legal Description:
THE PRINCESS OF HUTCHINSON ISLAND UNIT 1606
Property Tax ID#: 4502-610-0146-000-1 Lot No.
Site Plan Name: Block No.
iProject Name: Lockard
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESRIP "ION QE 1NORK
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Install 1 accordion shutter
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d r 4 Bs x Nf } a l
C NSTRU It N IN,FORM�ITIQN ' "
Additional work to e e orme under this permit—check a apply:
OHVAC Ei Gas Tank Gas Piping Shutters Windows/Doors
DElectric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 7,099.00 Utilities:Sewer Septic Building Height:
uOWtVER/LESSEE ' ` .x 2• ,_. '':} cF F a'x CQNTRACTQR x r `�
_,•.. by-
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Name Leonard&Rose Lockard Name: Michael Heissenberg
Address: 15811 Northville PI Company: Expert Shutter Services
City: Louisville State: Address: 668 SW Whitmore Dr
Zip Code: 40245 Fax: City: Port Saint Lucie State:FL
Phone No.502-641-8990 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.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
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Name: Tiltecolnc. Name:
•6355 NW 36th St Suite 305 Address:
Address.
City: Virginia Gardens State: FL City: State:
iip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable
(Name: Name:
!Address: Address:
1 City: City:
Zip: Phone: Zip: Phone:
1 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
istructure.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 essee/Contractor as A for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
j COUNTY OF St.Lucie COUNTY OF St.Lucie
The for oing instr m nt was acknowledged before me The forgoing instrument was acknowledged before me
this 7i day of 20 711by this day ofGk 111 20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of N tary Public-State of Florida) (Signature of Notary ublic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced ,der n9Rien Type of Identification Produced
���pa q NOTARY PUBLIC �� sso °r OBrien
Commission No.O S� o� 3. �' �� NOTARYP
-STATE OF FLORID Commission No a PUBLIC
o � �'� � �S7ATC OF FLORI
e a Comm#GG958999
s�n $ Corn et#GG9
xp xpires 2/17/2024
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS