HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: SCANNED Permit Number:BY
r r, St. Lucie County
• _ _ RECEIVED
Building Permit Application 1AN 16 2010
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
'PROPOSED IMPROVEMENT=LOCATIONi
Address: 9650 S OCean Dr#1505
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1505
Property Tax ID #: 4502-610-0135-000-1
Site Plan Name:
Project Name: Clark
Setbacks Front Back: X
I Install 2 accordion shutter
LJHVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 8,821.00
PeInw.—oie[:K au apply:
Gas Piping _Shutters
Sprinklers Generator
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Lot No.
Block No.
❑ Windows/Doors
0— Roof = Roof pitch
Building Height:
`OWNER/LESSEE;, p - -
CONTRACTOR:
Name Steven And Teresa Clark
Name: Michael Heissenberg
Address:143 Township Rd #1252
Company: Expert Shutter Services
City: Proctorville ---State: OH
Zip Code: 45669 Fax:
Phone No.304-633-7674
Address: 668 SW Whitmore Or
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
IT value or consiruction is ;)zsuu or more, a eecueuto Notice of Commencement is required.
SUPPEMENTAlCONSTRUCTION'LIEN LAiN'INFORNIATION ._
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecoinc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 inte d to obtain financing, consult with lender or an attorney before
commencing work or recordjaa voulotice of Commencement. /
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-c�7} l ,l lGt C COUNTY OF �1- - ) -A 4 (-'-e
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day GfJQnUn1 20 by this) day oft )CjrJ-.IC;�11/),20aby
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
[Signature ofN6tary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. Y Se�elgh Short
NOTARY PUBLIC
(-t�
( ignature of to ", Public- State of Florida )
Personally Known ✓/ OR Produced Identification
Type of identification Produced
Commission No. 67G I �t-HZ (Seal)
Haleigh Short
Revised07/15/2014 xComrn#GG148342 w STATE OFFLORIDA II
`fie e� Expires 5/25/2021 ',ri,VCF tA>r Comm# GGI MM2
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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