HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDQQ�
Date: Permit Number: >,J�Y�O3u
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
PROW !OROVE."tNT LQCA2TlON
Address: 9650 S OCEAN DR 901
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 901
Property Tax ID#: 4502-610-0081-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Pennington
Setbacks Front X Back: X Right Side: Left Side:
Q' !"AILED DESCRIPTlON,,0 WORK 3 4 ,
t �
Install 3 accordion shutters
CONSTRUCTION INFORN{ATlON
�.-. 2 �
Additional work to be performed under t is permit—check a apply:
11HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers Il Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 10,396.00 Utilities:n Sewer[]Septic Building Height:
OVNER�LESSE
GO TRAC�R�
Name Maureen Pennington Name: Michael Heissenberg
Address:9650 S Ocean DR Apt 901 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.203-232-7392 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.
SIJppLEMENTAL CONSTUCTIQN LIEN LAW INFORMATION t f
s=
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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.
Signature of Owner/Lessee/Contractor s Agent for Owner Signature of Contractor/License Hold
STATE OF FLORIDA (� II, `` In� STATE OF FLORIDA I `
COUNTY OF aT . �XJII� , COUNTY OF . W ;��,
Sv to(or affirmed)and subscribed before me of Swo n to(or affirmed)and subscribed before me of
Vysical Pr en a or Online Notarization P sical Pr r Online Notarization
this JA day of 2021 by this day of 202� by
%i
e
Zv)W9 M,N1011111'i Vill ))(ksw wmyu
Name of person making statement. Name of person making statement. Ili
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State� ippa OTARY PUBLIC (Signature of otary Public-State o
fFloridTaylor
e� ATE OF FLOFtIDA �(� gO'Brien
Commission No. C�amm#GGg58999 Commission No. lJ' � f�Y PUBLIC
�, �S ATE OF FLORIDA
g�i Expires 2/17/2024 w' a Com
?Ii 19� Expir s2/17/`DD q
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANdROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.