HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (C� Permit Number:2—"
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
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Address: 9650 S OCEAN DR 301
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 301 .,
Property Tax ID #: 4502-610-0021-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Baxter
Setbacks Front Back: X Right Side: Left Side:.X
Install 3 accordion shutters
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AcIcIfflonal work to je ne orme under t is permit — check a apply*
11HVAC L_J Gas Tank ❑Gas Piping Shutters -'[]Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: Sq.of First Floor:
1:1Septic
Cost of Construction: $ 11,173.00 Utilities: LJ Sewer Building Height:
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Name David & Cindy Baxter
Name: Michael Heissenberg
Address: 2357 NW Cove VW
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Stuart State: FL
Zip Code: 34994 Fax:
City: Port Saint Lucie State: FL
Phone No. 561-310-9550
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.
DESIGNER/ENGINEER: _ Not Applicable
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:
Name:
Address:
City:
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.
X Not Applicable
State:
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 our Notice of Commencement.
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Signature of Owner Lessee/Contractor gent for Owner Signature of Contractor/ricenseHol r
STATE OF FLORIDA
COUNTY OF St. Lucie
STATE OF FLORIDA
COUNTY OF St- Lucie
The fcRoing instr ent was acknowledged before me I The f rgoing inst�as acknowledged before me
this day of 20aby this day of 20a( by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
&NQK, 1),t1 m Cyr&eq
(Signature of Notary Public- State of Florida) (Signature of Notary Public=^State of Florida )
Personally Known X OR Produced Identification Personally Known X 0 Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. v �'✓ _ ,.l RYgs(Ses"anon O'Shea Commission No. J & y QTARy PUBIC
gQ �o NOTARY PUBLIC OF FLORIDA
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Revised �s�N a1��oComm#GG258038 Expires?11212022
cExpires9/12/2022
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