HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED qq
Date: SCANNED Permit Number: �O�o 00 CO�
BY
St. Lucie County ReCerveD
Building Permit Application AN ° s 1010
Planning and Development Services Permitting Department
Building and Code Regulation Division St, Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
I VROPOSFMMPROVEMENT LOCATION: ` ` s II
Address: 10072 S Ocean or 7 North
Legal Description: CLARIDGE BY THE SEA (OR 1787-2456) UNIT 7 NORTH
Property Tax ID #: 4502-805-0011-000-4
Site Plan Name:
Project Name: Sahni
Setbacks Front Back: x
Right Side: Left Side:
,D TAILED DESCRIPTION;OF WORK _"
I Install 4 Roll Shutters
Lot No.
Block No.
CONSTRUCTION INFORMATION;
Aclaitional worK t0 De nerrormed under tis permit — Check all appy:
11HVAC Gas Tank Gas Piping Shutters ❑ Windows/Doors
0 Electric 0 Plumbing []Sprinklers Generator g Roof = Roof pitch
Total Sq. Ft of Construction:
Costof Construction:$ 14,553.00
S Ft. of First Floor: _
Utilities:ll Sewer 0 Septic
Building Height:
OWNER/LESSEE: `
CONTRACTOR:
Name Roger Sahni
Name: Michael Heissenberg
Address:5570 Pristine Park Ct
Company: Expert Shutter Services
City: Houston State: TX
Zip Code: 77041 Fax:
Phone No.772-229-2992
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION', LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Utecelnc.
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th stsuite 3o5
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 inten o obtain financing, consult with lender or an attorney efore
commencing work Drrdirt-9our Nobotice of Commencement. �1
Signature
as
STATE OF FLgRJDA ' I STATE OF FLORIDA
COUNTY OF_ _ l l � 2 COUNTY OF }_( 1 I (:
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi%2_�21-Yday of Y)1 I 20 J by I thisi,� day of XNY 1T)\4 20 A by
Michael Heissenbery Michael Hsissenberg
(Name of person acknowledging I (Name of person acknowledging j
q ignature df f�otary Publiy- State of Florida j '(Signature bf f�fotary Public-Stateof Florida j
Personally Known �// OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.(2IC-1IUCC?94 �IARYq (Sephlegh Short Commission No �otAki(Seallna.e:gn Shoo
o� ,, NOTARYPUBLIC +�/ \fin NOTARY PUBLIC
Revised07/15/2014 W,NVC=Copm#GG748342 W=ComngkGG148342
IP/NeE i°�� Expires 5/25/2021 s�ftE 19'V Expires 5/25/2021
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