HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: o�
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
Address: 9550 S Ocean DR # PH-8
Legal Description: ISLANDIA I CONDOMINIUM UNIT PH-8
Property Tax ID #: 4502-601-0192-000-0
Site Plan Name:
Project Name: Ryan
Setbacks Front Back: X
InItall 1 accordion shutter
E1HVAC
❑ Electric
Lot No.
Block No.
Right Side: Left Side:
[]Sprinklers
IV Shutters
0 Plumbing IlGenerator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,940.00
ScFtj. of First Floor: _
Utilities: l _J Sewer OSeptic
Name Joseph C Ryan
Address: 9550 S Ocean DR # PH-8
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
QWindows/Doors
Name: Michael Heissenberg
Building Height:
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail: Callexpert@aol.coni
State or County License: 16572
it value or construction is jLSuu or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not
Name: Tiltecolnc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State: FL
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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/Contrac as Agent for Owner Signature of Contrac or/License
STATE OF FLORIDA STATE OF FLORIDA /
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this 456 day of 20a by
Michael Heissen4g
(Name of person acknowledging)
� �Aak 6 1 &&n'
(Signature of Notary Public- State ooff Florida )
The forgoing instrument was acknowledged before me
this '�b day of20 tL by
Michael Heissenberg
(Name of person'acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
o.Ipg ,� ea h Q,
Commission N `' NOTARY PU �mmission N&d_ - (t (� Cfl--
NOTARYL
44ESTATE OFF ORIDA a
Comm# GG2 8038 STATE OF F
. c Revised 07/15/2014 Expires 9/12/2022 ONCE A Expires 9/1
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