HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -\ Permit Number:
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: 9650 S OCEAN DR 1103
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1103
Property Tax ID #: 4502-610-0103-000-8
Site Pian Name:
Project Name: Helseth
Setbacks Front Back: X
Install 1 accordion shutters
F1HVAC
❑ Electric
Lot No.
Block No.
Right Side: Left Side:.
IVI Shutters
❑ Plumbing Sprinklers 0 Generator El Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,753.00
S Ft. of First Floor: _
Utilities:cn Sewer 1:1 Septic
U Windows/Doors
Building Height:
Name Petter & Geraldine Helseth
Name: Michael-Heissenberg
Address: 265 Ocean Bay Blvd.
Company: Expert Shutter Services
City: Lavallette State: NJ
Address: 668 SW Whitmore Dr
Zip Code: 08735 Fax:
City: Port Saint Lucie State: FL
Phone No. 914-329-1893
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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k
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tiltecolno.
Name:
AddreSS: 6366 NW 36th Sr Suite 306
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:
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. .
� 1
Signature of Owner/Lessee/Contr:76
Agent for Owner
STATE OF FLORIDA
COUNTY OF sr. Lucie
The f going instrum nt w s acknowledged before me
this day of 20 i-by
Michael Heissen4g
(Name of person acknowledging)
&O)q
(Signature of Notary Public- State of Florida )
Signature of Co6tract6r/Li6ense
STATE OF FLORIDA
CO U NTY OF sr. Lucia
The for oing instrument was acknowledged before me
this T day of 20iv by
Michael Heissenberg
(Name of person acknowledging)
",&, b' &C x"
(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
p�pSNRYgs� hanon O'She �� �pTARY
Commission No `/�Kv o NOTARY PUgLi Commission N P gJJo (Aon
o STATE OF FLOI zIDA NOT O'Shea
Co ARkPU
Expires 9/12/2022 o�yaf 1 W. COmrn# FF�ORIp
Revised 07/15/2014 Expires 9G25go38 A
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION '
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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INITIALS
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