HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q �/
Date: / 0 •� SCANNEDPermit Number: / P d l ' 12711
BY
St. Lucie County
Building Permit Application
Planning and Development Services JAN 3 0 2018
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 III
Address: 10680 S Ocean or #1101
Legal Description: ISLAND CREST CONDOMINIUM UNIT 1101 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0108-000-2
Site Plan Name:
Project Name: KOWAL
Setbacks Front Back: X
Install 1 accordion shutters
Right Side: Left Side:
0HVAC Li Gas Tank ❑Gas Piping
11 Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,236.00
Lot No.
Block No.
aPp y:
_Shutters ❑Windows/Doors
Generator Roof = Roof pitch
S Ft. of First Floor: _
Utilities:I] Sewer E]Septic
Building Height:
OWNERJLESSEE 5" r
GONfiRAGT0
�. .
Name Bruce Kowal
Name: Michael Heissenberg
Address:1200 NE Red Oak Way
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-2377
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 construction is 4.zeuu or more, a ntcoHDeD Notice of commencement is required.
4?.,,nvts
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: rlteolnn.
Name:
Address: 6355 NW 36th StSuRe305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip:33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
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 gFresprding your Notice of Commencement.
Signature
as Ageptfor Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFS} 1 ,' QC -C COUNTY OF + k A A (,-A -?
The forgoing instrument was acknowledged before me
�� thisday of by
Michael Heissenb&g
(Name of person acknowledging )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
The forgoing instrument was acknowledged before me
this23day of , iA�'(\,.1 , 20 \ Se by
Michael Hsissenberg
(Name of person acknowledging
4401 J ALS _
Signature V f otary Public- State of Florida )
Personally Known ✓liOR Produced Identification
Type of Identification Produced
�S al) I Commission No.
Raleigh Short
340eigh Short
NOTARY PUBLIC
o c STATE OF FLORIDA ^ a Comm# GGI48342
—Revised 07/15/2014 ty COmn*GG148342 OEI Expires 5/2512021
E1 Fvniroc atounn...
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
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DATE
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COMPLETE
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