HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: C�1�c�
r r ■_ .q: St. Lucie
e e County RECEIVED
n
Building Permit Application MAY 221010
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
PERMIT APPLICATION FOR: Shutter
Address: 9500 S Ocean Dr #1806
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1806
Property Tax ID #: 4502-602-0170-000-3
Site Plan Name:
Project Name: Padmos
Setbacks Front Back: x
Right Side:
Left Side:
Permitting Department
St. Lucie county
Residential
Lot No.
Block No.
[RETAILED DEC-RIPTION OF WORD � � �..s.. �A
I Install 2 accordion shutters
CONSTRUCTION INFORMATION::,,.
�._
AaaitionaiiWOrKtobenertormea un
ert Is permit—checka
apply:
HVAC Gas Tank
L]1:1
❑Gas Piping
Shutters
❑ Windows/Doors
11 Electric El Plumbing
[]Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 7,003.00
UtilitiesInSewer 11 Septic
Building Height:
OWNER/LESSEES '`
CONTRACTOR:
Name Glenn Padmos
Name: Michael Heissenberg
Address:9500 S Ocean Dr #1806
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: Z4950 Fax:
Phone No.517-617-9369
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.
SUPPLE,MENTALCONSTRUCT10,daLIEN,LAW INFORMATIOty ;-
�.,ati.. _.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tiltecolnc. Name:
Add ress: 6355 MW 36th St suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip:33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 integgd to obtain financing, consult with lender or an attorney before
commencine work clpfecordhw vourNotice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF— VAat COUNTY OF '-�* l XL'Oe
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this U day of V"IPS *J 20 W-by this day of t (I--{ 20 4a by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
of Florida )
Personally Known v OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.GaeL_L4 � 3 (ggh Short Commission Z (Seal)
�a sow NOTARY PUBLIC aAByarrlaielgn Short
_ -----
Y =Comm#GG148342 4-STATEOFFLORIDA
Revised 07/15/2014 s� 5F te�0 Expires 5125/2021 ? Comm#GG148342
set
Aires 512512021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
t (J
INITIALS