HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
AUG 19 2021
Building Permit Application St.
LUCID County
Planning and Development Se'rvices Permitting
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 1011: Shutter
Address: 9550 S OCEANDR'1101
Legal Description.. ISLANDIA"I CONDOMINIUM UNIT 1101
Property Tax ID #: 4502-601-6095-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Attanas
Setbacks Front X Back: X Right Side: Left Side:
Install' 2 accordion shutte I rs
I.
❑Elec ric ❑u m ing ❑pr n ers ❑enerator ❑ Roof. Roof pitch -
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ 12,092.00 Utilities.. Sewer 0Septic Building Height:'
AW R Q M
Name Anne M Attanas j
Name: Michael Heissenberg
Address: 6849 Loubet St
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Forest Hills State: NY
Zip Code: 11375 Fax:
City: Port Saint Lucie State: FL.
Phone No. 917-396-9665
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.
r.
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
X_ Not Applicable
Name: TilteoDinc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City:
State:
City: Virginia Gardens, State: FL
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 your Notice of Commencement.
ignature of Owner/L ssee/Contra s Agent for Owner
STATE OF FLORIDA
COUNTY OF sc Lucie
The N r'ging instrument was acknowledged before me
this _o� day of 20 �J by
Michael Heissenbi�g
(Name of person acknowledging)
1110-01Ai , N
(Signature of Notary Public- State of Florida )
Personally Known x n OR Produced Identification
Type of Identification Produced
Commission No. , `PS I) Shanon O'Shea
soy, NOTARY PUBLIC
rsr ?. cTATE OF FLOR
s
Signature of ontr for/License Ho
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this )& day of AAQ. 20 by
Michael Heissenberg
(Name of person acknowledging)
S41 - '104Aow_ 6 / oLkao-
(Signature of Notary' Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
rr otpR Shanon O'Shea
Commission No — v, o� NOTARY PUBLIC
A ESTATE OF FLORI
$ tres 9112l2022 ' I Expires 9/12/2022
i
Revised 07/15/2014 ` HCE? q Exp 'ycEl91
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