HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
3+
St. Lucie County
Building Permit Application
1^708 `OZiis
Planning and Development Services AUG 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
pROPOSEbINIPROlEN1ENT-LQCATION;.;
Address: 9960 S Ocean Dr#503
Legal Description: The Miramar II Unit 503
Property Tax ID #: 4502-702-0018-000-7
Site Plan Name:
Project Name: Mallia
Setbacks Front Back: X
I Install 2 Accordian Shutters
Right Side: Left Side:
I CONSIRUCTIOW NFPRMATION-
Ariclitinnni wnrw to n o nonFnrmoM nn nr 4 m normof ♦ or inn .n
11HVAC 0 Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 10504.00
Piping IVI Shutters
ars E Generator
S Ft. of First Floor: _
Utilities:ll Sewer []Septic
Lot No.
Block No.
11 Windows/Doors
Roof = Roof pitch
Building Height:
.OWNER/,LESSEEr
ram„ j "'
:CONTRACTOR:
Name Lawrence Or Georgianna Mallia
Name: Michael Heissenberg
Address:15 Blydenburgh CT
Company: Expert Shutter Services
City: Northport State: NY
Zip Code: 11768 Fax:
Phone No.631-262-6992
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
It value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
a
SUPPLEMENTAL CON57BUCTION' LIEN LAW INFORMATION
DESIGNER/ENGINEER:
Name Tiltecome.
_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
= Not Applicable
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 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 inspeainp. Ifinotrjnter�dto obtain financing, consult with lender or an atto ey before
commencine work dr recoll'dine ur otce of Commpnrpmpnt_
Owner
STATE OF FLORIDA
COUNTY OF StLucie
The forgoing instrument was acknowledged before me
thi day ofwgu5},, 20:7 by
STATE OF FLORIDA
COUNTY OF at weie
The forgoing instrument was acknowledged before me
this OR day of ,20 fZby
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
Personally KihSwn ✓ OR Produced Identification
Type of Identification Produced MY As,
Commission No G DT 3 9e3
Revised 07/15/2014
of II(okbry Public- State of
Knowny OR Produced Identification
of
STATED PitAinission No TARY PUBLIC
ConvoOG 1oyJPy ATE OFFLORIDA
e., J. R xO:. _ Comm#GG108399
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