HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q (�
Date: SCANNED Permit Number: (J�I 3—/
St. Lucie County RECEMM
Building Permit Application
JAN 16 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
(,PROPOSED IMPROVEMENT.LOCATION:
Address: 10044 S Ocean Dr #406
Legal Description: SEA WINDS CONDOMINIUM APT406
Property Tax ID #: 4502-804-0030-000-0
Site Plan Name:
Project Name: QUINT
Setbacks Front Back:
1 DETAILED'DESGRIPTION OF WORK
Install 1 Roll Shutter
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTfQN INFORMATIONS°�
_
rtiona wor to tie nerrormed un ert
�HVAC Gas Tank
is permit— cnecK
❑Gas Piping
all apply:
12 Shutters
❑ Windows/Doors
Electric 0 Plumbing
Sprinklers
11 Generator
E]Roof Roof pitch
Total Sq. Ft of Construction:
Sa} —FJof First Floor:
Cost of Construction: $ 2,097.00
�t.
Utilities: Sewer Septic
L
Building Height:
;;OWNER/LESSEE:„ : _-,
CONTRACTOR:
Name Hildegard G Quint
Name: Michael Heissenberg
Address:10044 S Ocean Dr #406
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 ° Fax:
Phone No. 772-229-2921
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
_.,
St�I'PLEtVENtAIpCtZCdSTEtUCTtON>LIEN �W1Ifi7RMATiQN�
- s x .
DESIGNER/ENGINEER:
Name: Titew Inc.
_ Not Applicable
MORTGAGE COMPANY: X
Name:
NotApplicable
Ad dress: 6355 NW 36th St Suite 305
Address:
City:yirginiaGardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: _Not
Name:
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,
accessary 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 yog intend to obtain financing, consult with lender or an attprney before
commencins work-w recerdinithour Notice of Commencement. , - 11--1
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF III, 1 1(' ), COUNTY OF Sk- l A 1 C e -
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this jQ day of � n nL AO A , 20 -12 this -10 day of,)0i3) In VU , 20 N, by
Michael Heissenbg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of tary Publi State of Florida) (ignature of tary Public- State of Florida )
Personally Known OR Produced Identification Personally Known ZR Produced Identification
Type of Identification Produced
�1 1r7 Type of Identification Produced '
Commission No.C- e 0,�7i L (Seal) Commission No.(L�,iCzi I (Seal)
Wr Haleigh Sh
NOTARY P BLIC Haleigh Short
STATE OF FLORIDA
Revised 07/15/2014 + = Cornrr# GG148342 STATE OF FLORID,
F % Expires 5125/2021 -? Comm# GG148342
1�xpirestiM/202,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
3a-
COMPLETE
INITIALS