HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat Permit Number: SA
RECEIVED
- ._. .___. ._ APR 13 1011
- Building Permit Application P,,3rmittir.g Department
Planning and Development Services St. Lucie County
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: Sh{�+utter
I53t �POSED INAE£ UMENT LOV!iTd
Address: 9550 S OCEAN DR 1710
Legal Description: ISLANDIA I CONDOMINIUM UNIT 1710
Property Tax ID#: 4502-601-0164-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Henry
Setbacks Front X Back: X Right Side: Left Side:
n a •r' }}+0 t - ,`''� i t t r< r''�'k`� � � .a�a'a *�, �� ,�a.'.t
q1z� ... A)L� Y•� T)� �1 � ( � A# I' ^� qNe ";zk.` �� . � ��3�$ ffy}�f'�. 3 ��� 6 �
3
' Install 3 accordion shutters
?i2�'-s ;*
GtNSTRUCTC tNQFi1AT.C3(d �� � � 1
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Additional work tone nerrormed under this permit—c ec TShutters
app y:
11HVAC 0 Gas Tank ❑GasPiping _ ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
I
Cost of Construction:$ 10,813.00 Utilities: Sewer E]Septic Building Height:
awNERfEs� lw E � zCCINTRAG`fR• OWN
. �, ., - = �. _ ., 7
Name Jeffrey A Henry Name: Michael Heissenberg
Address:134 Somerset Dr Company: Expert Shutter Services
City: Suffern State:NY Address: 668 SW Whitmore Dr
Zip Code: 10901 Fax: City: Port Saint Lucie State:FL
Phone No.845-368-1305 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.
I
SALMN " LyGONSTJ � I"iQNi N�IN t`AW,iNiiM? MATiON a `
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecelnc. 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 to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Ignature of Own r/Lessee/Contractor gent for Owner Sigrikure of Contrac or/License H r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The fo oing instru nt was acknowledged before me The forgoing instrument was acknowledged before me
thins day of 20 ]Xby this-M day of 20 i7u by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
0)
(Signature of Notary Public-State of Florida) (Signature of N tary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG956999 a�1pRY al aY1or O'Brien
pJOTARY PUBLIC Commission No. GG956999 e )
q �pSARYgs��S i aylor O'Brien
0 —STATE OF FLORID" aQ on NOTARY P o a UB
y E OF FLORIDA
Revised 07/15/2014 '�CE10�� Expires 21�?i?0"� s =Comm#GG958999
Expires 2/
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