HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
x, - BY.
St. Lucie County
Building Permit Application AUG 2 3 2017
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
I;PROPOSED1MP.ROVEM,ENT LOCATION:- ,
Address: 9650 S Ocean Drive 11U9
Legal Description: The Princess Of Hutchinson Island Unit 1104
Property Tax ID #: 4502-610-0104-000-5
Site Plan Name:
Project Name: Condon
Setbacks Front Back: X
I"DETAILED DESGRIPTIONkOF WORK:w
I Install 1 Accordian Shutter
Right Side:
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION'
tiona work to e e
OHVAC 11
orme un er
Gas Tank
t is permit— check
Gas Piping
a
apply:
Shutters
❑
Windows/Doors
11 Electric ElPlumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 3501.00
Utilities:
Sewer OSeptic
Building Height:
ONUNEFt/LESSEE:
�. ,
CONTRACTOR:
Name John And Barbara Condon
Name: Michael Heissenberg
Address:11 Gowing Lane
Company: Expert Shutter Services
City: Amherst State: NH
Zip Code: 03031 Fax:
Phone No.603-566-2149
Address: 668 SW Whitmore Dr
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
I n vame of construction is lz5uu or more, a REcoRDED Notice of Commencement is required.
J'WPPL'EMENTALCONSTRUCTION ,LIEN LAW1NFORMATION'r
..urvn�n/ o�mr¢cn• _ IMUL HppIIL:a UIe MORTGAGE COMPANY: X Not Applicable
Name: Tillecolna Name:
Address: 6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 obtain financing, consult with lender or an attorney before
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORJPA
COUNTY OF_� (,U i-e COUNTY OF t t (C-A-C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisdayof 20aby this.;JPday of, )CJV�=J 20Cl— by
Michael Heissenblim Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of V
ary Public- State of Florida) (Signature ofVw
ary Public -State of Florida )
Personally Known v OR Produced Identification Personally Kn ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.GGI �G%—/ ) Haleigh R Commission No��99 (Seal)
_%NOTARY PU IC Hal Russell
IDA NOTARY PUBLIC
Commr9 GGt03399 STA
Revised 07/15/2014 EI Expires 5/25/2021 CWni1%f GG108399
t Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS