HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: l OOI l`J�i�
BY I
"TJ St. Lucie County
ECMVED
JAN 1 fi 2018
111111111110 Building Permit Application permitting Department
Planning and Development Services 9t Lude County
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
®J:toJ.2_1;11A1LT a WMAgLyua►,i®1111,eiae®1[$]0 II
Address: 9960 S Ocean Dr #1603
Legal Description: THE MIRAMAR II UNIT 1603 (OR 1647-1140; 3030-1614)
Property Tax ID #: 4502-702-0068-000-2
Site Plan Name:
Project Name: Hutchinson
Setbacks Front Back: x
I Install 1 accordion shutter
Right Side:
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:-
;
itiona worK to e erTormea un ert ispermit—c check
a
apply:
OHV,
Gas Tank
Gas Piping
�_ Shutters
Windows/Doors
Electric 0 Plumbing
Sprinklers
❑ Generator
❑ Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 10,719.00
Utilities:
Sewer Septic
Building Height:
OWNER/EESSEE ., "•' ` '
CONTRACTOR: . - ..
Name Eileen Hutchinson & James Perry
Name: Michael Heissenberg
Address:5734 Heatherbank Rd
Company: Expert Shutter Services
City: Toledo State:OH
Zip Code: 43614 _ Fax:
Phone No.772-229-2586 L11C1• 2c,o5•,-)g0G
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code:34984 F_ax: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 or construction is yz)uu or more, a RLCURDED Notice of Commencement is required.
JUYYI:tIVItNIALCUNSLKU4iI,UN UtN LAWrINFURMATION:_'
uralulmcn/cimul IVCCK: _ IVOL Appllca Die MORTGAGE COMPANY: • Not Applicable
Name: nitemInc. 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 wjthjender_Qr an attorney before
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 4 t I K Ca-e COUNTY OF S1— t x A C7 -e
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this 11 day of N, 20 this I day of 3 nk I (-AV- A. 20 A by
Michael HeissenN6
Michael Hsissenberg
(Name of person acknowledging )
(Name of person acknowledging )
Signature of Public- tate of Florida)
(Signature of N to Public State of Florida )
17
Personally Known OR Produced Identification
Personally Known '- OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No.C-i�
a r alraleigh Short
Commission No.
Se4eigh Short
i(vVOTARY PUBLIC
' STATE OF F
NOTARY PUBLIC
Revise-d 07/15/2014
a Comm* GG148342
t07 Expires 5/25/2021
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Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
1
INITIALS