HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Permit Number:
SCANNED
RECEIVE®
BY
St. Lucie County
Building Permit Applicatio APR 18 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
artment
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x esinWCle County, FL
PERMIT APPLICATION FOR: Shutter
'PROPOSED IMP.ROVEM'ENT LOCAT)ON:.' `
Address: John & Mary Kirst
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1409 '7S'dV S- 046041
Property Tax ID #: 4502-602-0133-000-2
Site Plan Name:
Project Name: Kirst
Setbacks Front Back:
Right Side: x
Left Side:
Lot No.
Block No.
'DETAILED DESCRIPTION OF.WORk: �7 ` "
Install 1 accordion shutter
11HVAC Gas Tank ❑Gas Piping
11 Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,941.00
Shutters ❑Windows/Doors
Generator 0 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:'n Sewer D Septic
Building Height:
OWNER/LESSEE; -,.CONTRACTOR:
-:
Name John & Mary Kirst
Name: Michael Heissenberg
Address:9500 S Ocean Dr #1409
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-229-0255
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 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION=LIEN LAW INE.ORMATION-,
DESIGNER/ENGINEER: _ Not Applicable
Name: TiltemInc'
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens ,State: FL
Zip: 3316.6 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 inspectipD. If you intend to obtain financing, consult with lender or an attorngy before
commencing work recOcllm vourOotice of Commencement. //
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFa- I`AA i P COUNTY OF ,<Z�& lMC A-P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _ L day of -Ap6 (_ 20 18 by this 1 I day of�_V— 20 1I by
Michael Heissen4rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
of Nothry Public -
Personally Known " OR Produced Identification
Type of Identification Produced
Commission
of N�ta¢y Public- State
Personally Known — OR Produced Identification
Type of Identification Produced
(AV§j9h Short I Commission
NOTARY PUBLIC
fltlieigh Short
NOTARYPUBLIC
Revised07/15/2014 ''she=Comm#GGt48342 =Comm#GG748342A 4t�F,n Expires5/25/2021 ,o�N�"a�0 Exnlres/i/9 i9nn4
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