HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: I oL• In _
BY '
=T� i St. Lucie County
Building Permit Application DEC 1 1 2ij;7
Planning and Development Services PERi4IT .:
Building and Code Regulation Division St. Lucie Countu
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter III
Address: 9550 S OCEAN DR 1305
Legal Description: ISLANDIA I CONDOMINIUM UNIT 1305
Property Tax ID #: 4502-601-0119-000-5
Site Plan Name:
Project Name: Bookholdt
Setbacks Front Back: X
I Install 2 Accordion Shutters
Right Side: Left Side:
Lot No.
Block No.
1�U uuUo uiu Nci uur —LIMLK au apply:
OHVAC Gas Tank E]GasPiping Shutters ❑Windows/Doors
_
Electric OPlumbing ❑Sprinklers Generator El Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 6689.00 Utilities:InSewer Septic Building Height:
b4UNEEtjLES$EE
GOfVTRACTOR
Name Dewey & Jean Bookholdt
Name: Michael Heissenberg
Address: 9550 S Ocean Dr #1305
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-229-6064
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
n vame m consarucnon is pzouu or more, a newrcutu Notice of commencement is required.
Name: Tlltem Inc
Ad d ress: 6366 NW 36th St suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State: _
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
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SJ— l itr ,e COUNTY OF gF- ( k J— :-P
The for ling instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of t�MQ(fx1nln 20 %-)by this }a day of kt�Ve-MYD�CY 20 \1 by
Michael Heisseng Michael Hsissenberg
(Name of person acknowledging j (Name of person acknowledging j
V�
( gnature of N tary Publjc- State of Florida j (ignature of Not ry Public- State of Florida j
rsonally PeKno n V/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produce�d I Type of Identification Produced c
Commission NoC�C 1 U 2—Si 12- Haleigh t � NOTARY Short
PUBCommission No._C, I � '7 o2- (Segleigh Short
v c-rmry ..� .. . v7r\ten_ NOTARY PUBLIC
�? ComnAl GG148342 B c
Revised 07/15/2014 s�10E 19T� Expires 6/25/2021 $: M ,�a Comm# GG748342
'1'CE 19 Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
t7 AO
L19-