HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONk"—
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 t 7 1
Date:. Permit Number: 15 10 1 'JQ I
RECEI` 7D JUL 02017
*64 SCANNED
11111111100 Building Permit Application By
Planning and Development Services St. Lucie County
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 III
Address: 9650 S OCEAN DR #809
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 809
Property Tax ID #: 45.02-610-0079-000-0
Site Plan Name:
Project Name: MOSIER
Setbacks Front Back: X
INSTALL 1 ACCORDIAN SHUTTER
11HVAC Li Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,341.00
Lot No.
Block No.
Right Side: Left Side:
Piping ZShutters ❑Windows/Doors
nklers 1i Generator E]Roof Roof pitch
_ S Ft. of First Floor:
Utilities:SewerOSeptic Building Height:
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Name Kathi Mosier
Name: Michael Heissenberg
Address:1920 S Conference Dr
Company: Expert Shutter Services
City: Boca Raton State: FL
Zip Code: 33486 Fax:
Phone No. 954-683-3858
Address: 668 SW Whitmore Dr
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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
11 value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable
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MORTGAGE COMPANY: _ Not Applicable
Name: T114-PCn, In(-
Name:
Address:L p$S "A) --IQ St- :W.?,d5
Address:
City: t /liCl.n.a State:
City: State:
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Zip: F23I l n U Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you inten� to obtain financing, consult with lender or an attorney before
STATE OF FL9$jIDA STATE OF FLORIDA
COUNTY OF 7•{- I JL.I_(COUNTY OF St 1 AAC-4 •-P
The forgoing instrument was acknowledged before me
this �2day of )U YJ,( 20 aby
Michael Helssenbig
(Name of person acknowledging)
I(Signature T7tary Public -State of Florida )
Personally Known b-,' OR Produced Identification
Type of Identification Produced
Commission No (Itlal@19h Russell
ARY PUBLIC
STATE OF FLORIDA
The forgoing instrument was acknowledged before me
this -'Zday of,IA)Cye .20 n-by
Michael Helssenbeng
(Name of person acknowledging )
( ignature of of ry Public- State of Florida )
Personally Known `� OR Produced Identification
Type of Identification Produced
Haleigh Russell
Commission Noe>ai}ARYPUBLIC
_STATE OF FLORIDA
_Revised 07/15/2014 AW Expires 5/25/2021 '0FW- Expires 5/25/2021
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