HomeMy WebLinkAboutBUIDLING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE
COMPLETED FOR APPLICATION TO BE ACCEPTED l/ t
Date: ° (} Permit Number: ���7 - V 6& �a
n SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie 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
Address: 9650 S Ocean Dr #1907
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1907
Property Tax ID #: 4502-610-0177-000-7
Site Plan Name:
Project Name: Rasmussen
Setbacks Front Back: x
Install 1 Accordion shutter
Right Side: Left Side:
Lot No.
Block No.
uCU
❑HVAC Tank
UIIUCI LIII]IJCI I I IIL—LIICLK Oil Zdpply.
E]GasPip ing Shutters
❑Windows/Doors
_Gas
Electric
El
Plumbing
[]Sprinklers
E_Generator
D Roof
=
Roof pitch
Total Sq. Ft of Construction:_
Cost of Construction: $ 4,149.00
S Ft. of First Floor:
Utilities:SewerDSeptic Building Height:
OWNER/lE5$EE. g .h ,�.'
F �w
Gt?[�lTR;4C{3R
Namf6Philip8_Cynthia-Rasmussen_-`=_-�------- -- ---�-Name:-Michaer.Heissenberg.---+*___�
Address:43 Quarry Road
Company: Expert Shutter Services
City: Port Ludlow State: WA
Zip Code: 98365 Fax:
Phone No.772-229-0090
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 nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
It value or construction Is yzbuu or more, a HEcoRDED Notice of Commencement is required.
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SUPPLEMENTAL GONS'fRtlCT10N`IIEN lAW tNt
O�tIVIAfiON '
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: rltecoinc.
Name:
Add res S: 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
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 of-mcording vour Notice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF L1 COUNTY OF --5�— l A Ir s e
The forgoing instrument was acknowledged_before me The forgoing instrument was acknowledged before me
this.�ay of 6_Ao "?-' -N 20 (, ' by thiS�5D day of (�—iCl.'2J�7 , 20 1S by
Michael Heissen49 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Personally Known — OR Produced Identification
Type of Identification Produced
Commission NoEi_ � 2_ (S al)
_,c`n.RYA,e„ Halelgh Short
(Signature oNotary Public- State of Florida )
Personally Known V/OR Produced Identification
Type of Identification Produced
Commission N�CiIgR-E-02 ,' halelghShort
u C" g NOTARyPUBLIC
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Revised07/15/2014 Ys Ti =ComEX itm#GG148342 Nrr.'g1 ExPlreR5/25/202111
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