HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED pn 1
Date: SCASNNED permit Number: 1 OFJI Q3�1D
St. Lucie Countv
Building Permit Application
Planning and Development Services
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
I PROPOSE D,IMPROVEMENTELOCATION:
Address: 10680 S Ocean Dr#1206
Legal Description: ISLAND CREST CONDOMINIUM UNIT 1206 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0123-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Lundgren
Setbacks Front Back: x Right Side: Left Side:
DETAILED DESCRIPTION OF,WORK' I4ffi
Install 1 accordion shutter
CONSTRUCT101U INFORMATION:
' 4
rtiona worK to e e
�HVAC
orme un ert rspermrt-c ec
GasTank OGasPiping
a
apply:
❑Windows/Doors
_Shutters
Electric 0 Plumbing
[]Sprinklers
11 Generator
E]Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 3,676.00
Utilities:nSewer 0Septic
Building Height:
OW( ER/LESSEE: _ •' A
CONTRACTOR: '
-
Name Edward & Ethan Lundgren
Name: Michael Heissenberg
Address: 33 Meadowbrook Dr
Company: Expert Shutter Services
City: Barrington State: RI
Zip Code: 02806 Fax:
Phone No.401-323-7005
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 of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONS RUCTIONLIEN LAW INFORMATION_:'
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiiteminc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 36th St Suite 3o5
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 intend to obtain financing, consult with lender or an attorney before
commencing work or?ecordinAour Notice of Commencement. I I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �4 � _\ 1C aP COUNTY OF Ua C t Q
The forgoing instrument was acknowledged before me
this NO day of, 1(3nl J( rAA 2015�,by
Michael Heissen4rg
(Name of person acknowledging)
of
Personally Known ^/ OR Produced Identification
Type of Identification Produced
Commission No.G ,3142 (Seal)
Haleigh
The forgoing instrument was acknowledged before me
this Aa day of ,Qnl ),(I)N A , 20 $by
Michael Hsissenberg
Name of person acknowledging )
I!Signatureof of ryP7OR
State of Florida )
Personally Kn Produced Identification
Type of Identification Produced
No. C-,G14E`-7 < eal) Haleigh Short
Q_ NOTARY PUBLIC
11
Revised �omm#GG148342 '+ =Co n*GG148342
t9,6� Expires 512512021 �4CE 1918 Expires 51251202
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