HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services JUL,2 0 28111
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce Fl. 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
LPROPpSED IMPROVEMENTl.00ATION. ,
Address: 9650 S Ocean or 908
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 908
Property Tax ID #: 4502-610-0088-000-6
Site Plan Name:
Project Name: Turner
Setbacks FrontX Back: X
Install 3 Accordion Shutters
Right Side: Left Side:
Lot No.
Block No.
1!C,91NjWC .ST, TION INFORmATijPN:,,
Additional worKto D,e nerformed
undertnis
permit— cneCK
all
apply:
�HVAC
F]Gas
Tank
Das Piping
V( Shutters
2
0
Windows/Doors
Electric El Plumbing
[]Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 5058.00
Utilities:
OSewer 11
Septic
Building Height:
Name Jill Turner
Name: Michael Heissenberg
Address: . 66 Cleary Ct #1201
Company: Expert Shutter Services
City: San Fransisco State: CA
Zip Code: 94109 Fax:
Phone No. 772-631-8282
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
IT Value Or construction is ;,zbuu or more, a KLLUKULU Notice Of commencement is required.
SUPPLEMENTAL CONSTRUCTION�.UEN LAWN INFORMATION
k
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:_ Not Applicable
Name: Tilteminc. Name:
Address: 6355 NW 36tn St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip:33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 attoey before
commencing work oGGeccRdiing vourjAotice of Commencement. ��� 7
s
Signature of Owner/Lessee/Contractor as Agel t for Owner
Signature o&Z
f Contractor/License Holder 11
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF_;f� WCA-C
COUNTY OF gl \ U(CA-P
The for oing instrument was acknowledged before me
�day k.li\U
The forr��oing instrument was acknowledged b fore me
�lSdayof �by
this of, 20&by
this \�11�_.20
Mifhael Heiwenb&g
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging)
Sig ature of N t u ic- tate of Florida)
Signature of No a Public- State of lorida )
rsonally
PeKno OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
/'�/� �pIARY4,9 naeiyn ou0n
Commission No NOTARY �c NOTARY PUBLIC
Commission No. Li ��12 (Seal)
31 =STATEOFFLORI
A o`ARYq •7aaoigi, onon
Revised07/15/2014 �NE19t� Expires5/25/2021 0 �STATEOFFLORIDF
?Comm#GG148342
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