HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: Permit Number: l
�yy SCANNED
BY
St. Lucie County «�j -
Building Permit Application
Planning and Development Services
JUL
Building and Cade Regulation Division PEWAI?Tif.IG'
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 9500 S OCEAN DR PH-07
Legal Description: ISLANDIA II CONDOMINIUM UNIT PH-7
Property Tax ID #: 4502-602-0191-000-6
Site Plan Name:
Project Name: ZOMERFELD
Setbacks Front Back: X Right Side: Left Side:
INSTALL ONE ACCORDIAN SHUTTER
Lot No.
Block No.
Auunrunar wurK cu ue errurrnea unuerims permit— cnecK an apply:
I�HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ElPlumbing Sprinklers 1i Generator Roof Roof pitch
Total Sq. Ft of Construction: Sct. of First Floor:
Cost of Construction: $ 2,920.00 Utilities, Septic Building Height:
ONIVER/LESSEEa
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Name Pamela And FrankZomerfeld
Name: Michael Heissenbarg
Address:16610 SW 77th CT
Company: Expert Shutter Services
City: Palmetto Bay State: FL
Zip Code: 33157 Fax:
Phone No. 305-720-7266
Address: 668 SW Whitmore or
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
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.
SUPP i"Aia.. ;,:1"r+a _`n 'F�.N'hf ORl1,. i.ATl}IxiOe¢GN>uE=vee...vf tai ^S'3€ ���MERIIF
DESIGNER/ENGINEER: _Not
Name: rltecoInc.
Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address: 6355 NW 36th St Suite 3a5
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY: _Not Applicable
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 ano 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. Ifyou intend t"btain financing, consult with lender or an attorney bef re
commencing work or recorcTinkmaur No Ce of Cbmmencement. I
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF o = LLA -C>!-C- COUNTY OF S} 1 �CA if
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_:�!2dayof%� 20VLby this-adayof .iL_ 2017 by
Michael Heissen49 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
Signature of t ry Public- State
uub is -State of Florida )
Personally Known `' OR Produced Identification
Type of Identification Produced
Commission Noc-Aco IoZH50 7
Revised 07/15/2014
of Notdry Public- State
Personally Kno n. OR Produced Identification
Type of Identification Produced
Haleigh Russell Commission
NOTARY PUBLIC
Comm# GG108399
ExDlres 5/26/2021
Hi) Russell
NOTARY PUBLIC
CommO GG108399
Expires 5/25/2021
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