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HomeMy WebLinkAboutBuilding Permit Application ALL 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 PROPOSED IIUIf�RO1lEMENT LOCATIO . ,w �_�, Address: 9550 S OCEAN DR 803 Legal Description: ISLANDIA I CONDOMINIUM UNIT 803 Property Tax ID#: 4502-601-0067-000-5 Lot No. Site Plan Name: Block No. Project Name: Berg Setbacks Front Back: X Right Side: Left Side: © "IAILEa�D �RIPTIOI OE UIIORK' �� 3 � � xi Install 1 accordion shutter CQNSTRUCTIONINEORMATICI.N. .. f _. . � AdditionaI work to e pertormed un ert is ermit-check a � ❑HVAC _Gas Tank Gas Piping2 Shutters E] Windows D;..,,ti � � ❑ / oors ❑Electric ❑ Plumbing Sprinklers M Generator ❑ Roof F7 Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 3,790.00 Utilities:Sewer Septic Building Height: OWNER/LESSEEF, GO NTRACTOR' �p Name LorArt37 LLC Name: Michael Heissenberg Address:6924 W Smith Rd. Company: Expert Shutter Services City: Medina State:OH Address: 668 SW Whitmore Dr Zip Code: 44256 Fax: City: Port Saint Lucie State:FL Phone No.330-635-2209 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. z �.. A'; ' h 1 .� e`a's" `�d i t, St�PLEI EN�TA CC1NST �lCTI( N IE LRU1t IN iM T __<.., 9 .;�o�,�ra,'�,o, °s-.�,✓m� �.r.�w. ,.ear , . � DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Tiltecolnc• Name: Add ress:6355 NW 36th St Suite 305 Address: 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: 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 our Notice of Commencement. s Signature of Owne Les ee/Contractor gent for Owner Signature of Can-tractor/License>111rr STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF St.Lucie The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this%day of W• 20021 by thisRj# day-of 0( +- - 20 4 by Michael Heissenbtirg Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (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 Shanon O'Shea Commission No. GG258038 Q tARy NOTARY PUBLIC Commission No. GG256038 ZAB1 AS (s o on O'Shea STATE OF FLORID o NOTARY PUBLIC 0 0 0 t-STATE OF FLORIDA °ONCE 19�0 Expires 9/12/2022 °ONCE 19�0 omm#GG258038 Revised 07/15/2014 Expires 9/12/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS