HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED,.JJFO& AKVLJCATION TO BE ACCEPTED
Date: l /iB�IVVYIvttUU Permit Number:
St. Lucie County
ECc
Building Permit Application DEC 112017
Planning and Development Services
Building and Code Regulation Division PER'+11i1-ING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Coun
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential FL
PERMIT APPLICATION FOR: Shutter III
(; rrtuNu�tu°xIMI'-,KUVtIV4�NT LOGAT(ON;:': '•. _ Y ,: -, • xs = �;� 4
Address: 10680 S OCEAN DR 702
Legal Description: ISLAND CREST CONDOMINIUM UNIT 702 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0069-000-6
Site Plan Name:
Project Name: Marcinek
Setbacks FrontX Back: X
Right Side: Left Side:
Lot No.
Block No.
I!°bEFAfLED DESCRIPTIOI:C>WORK,°` ���
Install 3 Accordion Shutters
C{7NSTRUCTIl7tU%'INF.ORNIATION:
itiona wor to e e orme un ert
�HVAC 11 Gas Tank
ispermit—c ec
[]Gas Piping
a apply:
Shutters
❑
Windows/Doors
Electric 0 Plumbing
Sprinklers
Generator
❑ Roof Roof pitch
Total Sq. Ft of Construction:
Ft
Sq��Ftt of First Floor:
Cost of Construction: $ 4296.00
Utilities: E]Septic
Building Height:
:OWNER/LESSEE:.,-',,
CONTRACTOR:- xa
Name Barnard & Margaret Marcinek
Name: Michael Heissenberg
Address:1120 Cross Creek Dr
Company: Expert Shutter Services
City: Uniontown State: PA
Zip Code: 15401 Fax:
Phone No.412-582-1059
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 nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
u vame or conscrucaon is acauu or more, a newnu[u notice of commencement is required.
SUPPLEMENTAL CdNSTRUCTIQN
LIEN LAW INFORMATIdIU
�:.
t
DESIGNER/ENGINEER:
Name: niteminc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: R
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Nat 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 inspection. If you inten� to obtain financing, consult with 17der-gr an attorney before
commencing worlS o etgrdimg Your otce of Commencement. 1 I ��
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF l 1 jL i f COUNTY OF'F� 1,� P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this jSL.day ofq�_( WmJCp.V,20.0by I this &Zday ofJ,��. \P De.Y.20&aby
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
L�
(Signature c otary Publip-State of Florida) (ignature of N a Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.C-'iC� I4R Z�otp Haleigh Short Commission No. -I CG�IL ��'Z (Seal)
NOTARY PUBLIC
Haleigh Short
Revised 07/15/2014 OiN stm Expires 5/2512021 � = STATE OFFLORIDA II
Comm# GG148342148342
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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