HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:SCANNED Permit Number:
BY En
ED
I, St. Lucie County 018
Building Permit ApplicatiPlanning and Development Services Permitting
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— C_ drab
.P,RO,POSED IMPROVEMENT LOCATIQN:.
Address: 10680 S Ocean or #509
Legal Description: ISLAND CREST CONDOMINIUM UNIT 609 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0056-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Butler
Setbacks Front Back: x Right Side: Left Side:
.DETAILED DESCRIPTION OF WORK. p:<`
Install 1 Accordion Shutter
m m
- P ..r
rtiona wor to e e orme un ert
1jHVAC Gas Tank
Ispermtt-c ec
[]GasPiping12
a apply:
❑Windows/Doors
_Shutters
11 Electric OPlumbing
❑Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sal —F—t.� of First Floor:
Cost of Construction: $ 3,056.00
Utilities:cnSewer Septic
Building Height:
,;OWNE_R'/LESSEE"
_Name Jerry Butler_ _ _ _ -__ —__
_Name:=Michael,Heissenberg -_ -
__.
Address:10680 S Ocean Dr #509
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-708-1448
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
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
;SUPPLEMENTAL -CONSTRUCTION
q LAW
INFORMATION::,,
DESIGNER/ENGINEER:
Name: TiitecoInc.
_ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 N W 36th St Suite 305
Address:
City: Virgin in Gardens
Zip: 33166 Phone:
State: FL
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
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 oL-cecor RnR voLWNotice of Commencement. 1---1 D
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF} W6C COUNTY OF I t a( 1P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this2Uclay of DM, rC n . 201'�by thisZU day of ��lr<`Yl , 20 \� by
Michael Heissenbting Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Florida )
Personally Known " OR Produced Identification Personally Known ' OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Revised 07/15/2014
Commission
Halelgh Short
Fv..
FLORIDA
Expires 5/2512021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
u
COMPLETE
!1I2-016
INITIALS