HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
t RECEIVED
Building Permit Application JUN 2 2 2021
Planning and Development Services
Building and Code Regulation Division St. LUCIO 000ty
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 9500 S OCEAN DR 1802
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1802
Property Tax ID #: 4502-602-0166-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Cannon
Setbacks Front Back: X Right Side: Left Side:
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Install 1 accordion shutter
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Additional work to e e orme under this permit— c ec a apply:
F]HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 3,437.00 Utilities:n Sewer Septic Building Height:
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Name Robert L Cannon (TR) Name: Michael Heissenberg
Address: 2391 NW Bay Colony Ct Company: Expert Shutter Services
City: Stuart State: FL Address: 668 SW Whitmore Dr
Zip Code: 34994 Fax: City: Port Saint Lucie State: FL
Phone No. 734-604-2288 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:
X Not Applicable
Name: Tiltecoinc.
Name:
Address:
Address: 6355 NW 36th St Suite 305
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:
City:
Address:
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 your Notice of Commencement.
Signature of Owner Lessee Contractor as ent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
thi day of 1,1Jk18Q , 20 aLby
Michael Heissen4g
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. (Sqo & &hanon.
NOTARY
Revised 07/15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this day of c,lAl/��_ , 20 R by
Michael Heissenberg
(flame of person acknowledging)
aakov\_ aAlm
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. l�U, Shanon O'Shea
Comm* . --FXIL
GG258038
R�+r�s 9/12/2ngo
NOTARY PUBLI,
STATE DE Rt O,
Comm# GG2580,
Expires 9/12/20
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