HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Zo
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Permit Number: �14 `J d� ►e
7ps <` RECEIVED JUL
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0 B 2017
SCANNED
Building Permit Application BY
St. Lucie County
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 IMFROUEMENT,LOCATION:
, ' {. . s a
Address: 9500 S OCEAN DR 801
Legal Description: ISLANDIA II CONDOMINIUM UNIT 801
Property Tax ID #: 4502-602-0065-0004
Lot No.
Site Plan Name:
Block No.
Project Name: MANCUSO
Setbacks Front X Back: X Right Side:
Left Side:
DETAILED"DESGRIPTtONT'�F70ftK°€.
..... -.
INSTALL 3 ACCORDIAN SHUTTERS
COTVSTRUCTI3NlfFOEtfVIAION,.
-.
AdcutionalworKtolifelertormed un ert is permit — cneCK
❑HVAC Gas Tank ❑Gas Piping
all pig apply:
Shutters ❑ Windows/Doors
❑Electric In Plumbing ❑Sprinklers
❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 9,658.00 Utilities:'n Sewer ❑ Septic Building Height:
OWNERjLES EE' �� ; ` ' r ��
..:
< 3NTRA JOR ',.. .=
Name Michael Mancuso
Name: Michael Heissenberg
Address:169 Wagner Blvd
Company: Expert Shutter Services
City: Greenfield Twp State: PA
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 18407 Fax:
Phone No. 570-357-6519
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
State or County License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tinewinc.
Name:
Add resS: sass NW 36th St Suite 305
Address:
City: Virginia Gardens
- State: FL
City:
State:
Zip: 331e6 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
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 06tain financing, consult with Ieader_or an attorneefore
commencing work or r ordin Q Noti (e of Commencement. x
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S+ I Alfa if COUNTY OF E f, LC `
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-aLdayof3k A k k �J 20Oby this _a day of��Aj�,,) _20\aby
Michael Heissen4rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
( ignoature of ary Public -State of Florida) ig a ure o N to Public- State of Florida )
Personally Known + / OR Produced Identification Personally Know VOR Produced Identification
Type of Identification Produced Type of Identification Produced
r Haleigh Russell Hal"h Russell
Commission No� NOTARypUBLIC Commission No. NPWM PUBLIC
STATE OF FLORIp STATE OF FLORIDA
Revised 07/15/2014 Ires 542512021 tsn I�Ires 40/2021
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