HomeMy WebLinkAboutBuilding Permit Application \�ICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
,,..Le: � Permit Number:
RECEIVED
Building Permit Application APR 10 2021
Planning and Development Services Pwmitting impartment
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 9650 S. Ocean Drive Unit 1701 Jensen Beach, FL, 34957
Legal Description. The Princess Of Hutchinson Island Unit 1701 (OR 2986-2416)9650 S Ocean DR 1701
Property Tax ID#: 4502-610-0151-0009 Lot No.
Site Plan Name: Gross Block No.
Project Name: Gross
Setbacks Front Back: x Right Side: Left Side:
'
Installing 3 Accoridon Shutters
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itiona tor to e e orme un ert ispermit—c ec a appy:
0HVAC Gas Tank ❑Gas Piping �_Shutters Windows Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 10,396.00 Utilities:Sewer Septic Building Height:
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Name Howard Gross Name: Michael Heissenberg
Address:9650 S.Ocean Drive Unit 1701 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.516-848-6160 Zip Code: 34984 Fax: 772-871-0990
E-Mail:hgross@outlook.com 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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Sl ?I.EMENTAL COtUSTICTIQN,LI � LAW IIVMATItNR
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DESIGN ER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tltecolnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: Ft. 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.
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Signature of Owner/ essee/Contractor as nt for Owner ignature of Contract r/License Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The f r oing instr w s acknowledged before me The forgoing instrume t as acknowledged before me
this day of 20 J\by this�day of 1A 20 __ 1 by
Michael Heissenbtrg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary P blic-State of Florida)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
�. Taylor O'Brien �agy�s Taylor O'Brien
Commission No. GG956999 yc . Y `10 SI44Jj(ARY PUBLIC Commission No. GG958999 era � s
_, °�r �ARY PUBLIC
nil' ,5rt`ATB OF FLORIDAa p
,� dy.� -=+STATE OF FLORIDA
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Revised 07/15/2014 r13 7/2024
�V, s E ie►v Expires 2/17/2024
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