Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED aea Cl QwrY a SCAKI Permit Number: /a0(o ^,7'702 NED BY St. Lucie County Building Permit Application 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 Address: 9500 S Ocean Dr#501 Legal Description: Islandia it Condominium Unit 501 Property Tax ID #: 4502.602-0035-000-5 Site Plan Name: _ Project Name: Duryea Setbacks Front Back: Install 1 Accordion Shutter Right Side Left Side: RECEIVED JUN 2 8 1018 Permitting Department St. Lucie County Residential Lot No. Block No. h.Ct�NSTRUCTIOfVJNF.ORMATION: _" " 4 A 11HVAC Gas Tank Electric 0 Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 2,458.00 Piping Sprinklers Shutters Windows/Doors LiGenerator 11 Roof = Roof pitch S Ft. of First Floor: _ Utilities: Sewer 11 Septic Building Height: OWNER/LESSEE s :f. ""'` CO�TR°/1CTOR: .. _ . Name Katherine Duryea Name: Michael Heissenberg Address: 9500 S Ocean or #501 Company: Expert Shutter Services City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 609-751-4649 Address: 668 SW Whitmore or 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. IIPP�EtVIEN%ALA(3R15TRlJCTION?LIENk1VMNF©RNIAT(QN*,� h ', a;° o DESIGNER/ENGINEER: Name: Tiltecolnc. _ Not Applicable MORTGAGE COMPANY: Name: X Not Applicable Add reSS: 6355 NW 36th St Suite 305 Address: City: Virginia Gardens Zip: 33166 Phone: State: FL City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: = Not Applicable 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 intend to obtain financing, consult with lender or an attorney before commencing work or reterdiiu your,Notice of Commencement. s Signature o Owner Les /Contractor as Agent fbr wner Signature o Contractor Lic" se Holder STATE OF FLORMA STATE OF FLORIDA COUNTY OF2A \ A1S1,Q COUNTY OF ai- V w L(_,t,f The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this,'tl_dayof Y A(le- 20 &by thisc9% day of ),Jr1rC 20 Eby Michael Heissenb�Tg Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging ) (Signature of ary Public- State of Florida) (ignature o N Lary u/blic- State of Florida ) ✓OR Personally Known Produced Identification Personally Knowny OR Produced Identification Type of IdentificationProduced Type of Identification Produced Commission No.0 GJJ AC%. 2_ (Seal) Commission No.61C—) Iq9: (Seal) naeign 5ho �MI'Al4f. ' nayh onon 0 �STATEOFFLORIDA �STATEOFFLORIDA Revised 07/15/2014 y ` ' ?�Comm#GG148342 �s ? Comm#GG148342 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS