HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL (APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number.T.
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affmN111111111100
Building Permit Applicati n SEP 2 5 2018
Pla
ing and Development Services
Bui
fingand Code Regulation Division RermIttin9 Department
230Virginia
PhJ1�e:
Avenue, Fort Pierce FL 34982 4 Count Yr FL
x
(772) 462-1553 Fax: (772) 462-1578 Commercial R1e�idL .en.`. L__,_
PERT"
IT APPLICATION FOR: Shutter
R�iFJD
I�Y11 $��np
Addr
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E..t � .. .
'ass: 9500 S Ocean Dr #709
Legal
Description.. ISLANDIA II CONDOMINIUM UNIT 709
Prop
rty Tax ID #: 4502-602-0063-000-0 Lot No.
Site R'an
Projelllt
Name: Block No.
Name: Taddeo
SetWi
ks Front Back: x Right Side: Left Side:
Mary 'F'n .25 ta5 Sv. i v, ^J" d. s`i 12i3 §' J„S
'rn S
"'
a"�
Instal
1 Accordion shutter
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y ..���
a
�..a_ ., ��.�o�
work tone performed under tispermit—checka apply:
VAC E] Gas Tank Gas Piping Shutters ❑ Windows/Doors
Addit"
_
❑Electric
0 Plumbing Sprinklers ❑ Generator Roof Roof pitch
Total
. Ft of Construction: S Ft. of First Floor:
0Septic
Cost o
Construction: $ 3,404.00 Utilities:cn Sewer Building Height:
I I
S. p`T£S'"'S S "'"{y7iE
S�wY fly fr''d' d•' �,yR e
v r ,...�S�t�Ky AyS iY• 2iri,. YY. �Tna"i AA '4' ra:4 ,s.�'
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Namejbisa
Dahill
Name: Michael Heissenberg
AddreL:
9500 S Ocean Dr
Company: Expert Shutter Services
p
, nsen Beach State: FL
Address: 668 SW Whitmore Dr
City:
Zip Col
e: 34957 Fax:
City: Port Saint Lucie State: FL
Phone
No. 772-229-9571
Zip Code: 34984 Fax: 772-871-0990
is
E-Mai
Phone No. 772-871-1915
Fill in
fee simple Title Holder on next page ( if different
E-Mail: Callexpert@aol.com
from tl�
a Owner listed above)
State or County License: 16572
If valuellbf
construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
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LEiV1EN1` #STR�TNtNNi iLAtt�N1N�{RMATIQN,
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: X Not Applicable
_
Nam
Tlteco Inc.
Name:
Add
6355 NW 36th St Suite 305
Address:
City:
IeISS:
(Virginia Gardens State: FL
City: State:
Zip:
,3166 Phone:
I'I
Zip: Phone:
FEE SIMPLE
TITLE HOLDER: X Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Add
ss:
Address:
City:
City:
Zip: Phone:
I I
Zip: Phone:
I certi Fly that no work or installation has commenced prior to the issuance of a permit.
St. Luc a Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which,) in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct ls
re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con Ilderation 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 fo building permit applications are exempt from undergoing a full concurrency review: room additions,
accesslowing
ry 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 inspe�ti u intend to okytain financing, consult with lender o n a torney before
comrrilencing work o recordin2womr Notic&bf Commencement.
Signature of Owner/Lessee/Contractor as Agenf for Q)kner Signature of
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF,S-& LUG i? COUNTY OF Sri- U,l(',A
The fd, going instrument was acknowledged before me
this \ day of SCQA:pCcm 20 jc?;,by
III Michael 111,eissen4rg
(Name bf person acknowledging)
i
n
ignatU�re o N tary Public- tate of Florida )
J
Person Ily Known OR Produced Identification
Type of Identification Produced
Commi sion No. Z (Seal)
07/15/2014
The forgoing instrument was acknowledged before me
this 24 day of SCOW— l (9r 20 18 by
Michael Hsissenberg
(Name of person acknowledging )
(Signature of N tary`Puublic-State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. G--I&ILlB c//7.
NOTARY PUBLIC
STATE OF FLORIDA
—A A——
(WWh Short
, NOTARY PUBLIC
Comm# GO148342
Expires 5/25/2021
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