HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED QD
Date: Permit Number:
I o F�3 i 2022
Building Permit Applicati a n
Plannin and Development Services "' l
9 P ST. Lucie County, ?-�rn,tain
Building and Code Regulation Division Commercial X Residential ��-
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
i
PERMIT APPLICATION FOR: Hurricane Shutters
iR{POSEDt PRf)VEMENT LCiCAT,ION £ `,
Address: 9940 S. Ocean Dr. #902
Property Tax ID #: 4502-502-0089-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Schmidt
Install 3 accordion shutters
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping X Shutters' _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,628.00 Utilities: _ Sewer _ Septic Building Height:
4�1NIER j! ES1= r
.. <.. _ ... , 7. %...._, ,x ,..
NTRAF`Ot�
Name Edward & Robert Schmidt
Name: Michael Heissenbeir
�
Address: 262 Nettles Blvd
Company: Expert Shutter Services
City: Jensen Beach state: FL
Address: 668 SW Whitmore Drive
Zip Code: 34957 Fax:
city: Port Saint Lucie State: FL
Phone No. 772-485-2291 E-
Zip Code: 34984 Fax:
Mail:
Phone No772-871-1915 1
Fill in fee simple Title Holder on next page (if different
E-Mail permits@expertshufters.com
State or County License 16572
from the Owner listed above)
11 vau+C u1 wnsuucnun is Lauu or more, a KLLUKutu Notice oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SU PIiEMEN�At; C0I ,_ JCTtO LAW IN
�,,.�,. �r.,__ _ ._.......� fir, x...•
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Tiiteco, Inc.
Name:
Address:
Address: 6355 NW 36thSt. #305
City:
State:
City: Virginia Gardens State: FL
Zip: 33166 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vcntr NntirP of CnmmPnrPmPnt
Signature of Owner/ Lessee/Contractor as ent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
Swor,q� tao (or affirmed) and subscribed before me of x
this day of 20A by
Physical Presence or Online Notarization
�
Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Sharon O'Shea
Commission No. GG258039 (Seal) Q�p(FRY4,9 NOTARY PUBLIC
0
0
o STATE OF FLORIDA
Comm# GG258038
sVOE
1
Expires 9/1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
rcev 512u/2-1