HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,J
Date: 5(;ANNED Permit Number:
BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services JAN 2 3 2017
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
6R(1Df=SCFfIInAPR(1t/FAAFAITI`ff('ATICIN• `' ^ �' F` " _'� `� - '� '�"
Address: 9500 S Ocean Or Apt 1403
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1403
Property Tax ID #: 4502-602-0127-000-7
Site Plan Name: Sil R Cimino
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
a
DETAIEED 08CRIPTION,�,OF WORK: `
Install 3 Accordion Shutters
UHVAC L=JGas Tank
0 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3987.00
Sas Piping LJShutters
Sprinklers 0 Generator
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Lot No.
Block No.
Windows/Doors
0 Roof
Building Height: 180'
OWNER/LESSEE "*° .,,,,CONTRACTOR:,,
a fr.
Name Sil R Cimino
Name: Michael Heissenberg
Address: 9500 S Ocean Dr Apt 1403
Company: Expert Shutters
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-9455
Address: 668 SW Whitmore
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
o6UP,PsLEMENTALCONSSCEtE1GTtC5N LIEN kAWrli lFt3FtMATION
� "
DESIGNER/ENGINEER: _ Not Applicable
Name: WaiterTiliit
MORTGAGE COMPANY:
Name:
X Not Applicable._
Address: 6355 Nw 36thSt
Address:
City: Virginia Gardens State: FL
Zip: 3316E Phone: 305-871-1530
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in convict 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 tp obtain financing, consult with lend�an attoryley before
_ Signature of Owner'/ Lessee/Agent
STATE OF FLORIDA L ] U r p STATE OF FLORIDA
COUNTY OF . C I `C I COUNTY OF
The forping mst ument was acknowledged before me
thl&&T day of J 6L (\ U M 20 JDby
Michael Heissen4g
(Name of per on acknow�ledggiing )
V `
(Signature of Notary PuVlic- Sta orida I
Personally Known V OR Produced Identification
Type of Identification Pro 1ducced
Commission No0 �� 0� tAarAs H��jjATHER VIZZO
e q NOTARY PUBLIC
ESTATE OF FLORIDA
The forgoing instrument was acknowledged before me
thiday of n'IAQ/ 20 Eby
Michael Heissenberg
(Name of person acknowledgingrl
uu�� V ,
(Signature of Notary P lic-State of Flor'd
Personally Known OR Produced Identification
Type of Identification Produced
Commission NoLoI_
�a o2yuyv SetljATHER VIZZOk7
�n NOTARY PUBLIC
Revised 07/15/2014kc� Expires 11/13/2018 �sx Comm#FF176266
Expires 11/13/2018
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