HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST 1BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7�r�' /� SCANNED Permit Num
BY
• _ ' St. Lucie County
Building Permit Applicatiol
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-
JUL no 4 ,-;g
Permitting Department
St. Lucie Co nty�, FL
Residential
PERMIT APPLICATION FOR: Shutter
PROPOSEb MPR0VENIENTCOCATION t
Address: 8750 S Ocean or PH-54
Legal Description: ISLAND DUNES CONDOMINIUM A UNIT PH-54 A/K/A ADMIRAL CONDOMINIUM
Property Tax ID #: 3535-601-0108-000-4
Site Plan Name:
Project Name: Dejohn
Setbacks Front x Back: x
Install 4 Accordion Shutters
Right Side: Left Side:
I' CONS`CRUCTION� INFOMATIQN: ' r ry „ r
�HVAC E] Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 28,818.00
uu—oiecre du apply:
Piping Shutters
=rs E Generator
S Ft. of First Floor: _
Utilities:n Sewer [] Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
QWNER/LESSEE: n _„
CONTRACTOR
Name Rory Dejohn
Name: Michael Heissenberg
Address: 8 Devon Ct
Company: Expert Shutter Services
City: Branford State: CT
Zip Code: 06405 Fax:
Phone No. 917-567-0644
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 nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
IT value Ot construction is yZStiU or more, a RECORDED Notice of Commencement is required.
SUPPLEIMI NTt�LGONSTRUCTIOPI.EIEN
LAW INFORMATIOill�y
LE
DESIGNER/ENGINEER: _ Not Applicable
Name: TiitecoInc.
MORTGAGE COMPANY:
Name:
X Not Applicable
Ad d ress: 6355 NW 36th St suite 305
Address:
City: Virginia Gardens State: Ft
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 payin,
improvements to your property. A Notice of Commencement must be recorded and posted on
before the first inspect!pR. If you i tend to obtain financing, consult with ender or an rn7
commencine work or�i`ecdmline v ur Notice of Commencement. _
re
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF2::;� kaA('A-f COUNTY OF i
The forgoing instrument was acknowledged before me
this2,3dayof � i� A 20aby
Michael Heissen419
(Name of person acknowledging )
for
re
The forgoing instrument was acknowledged efore me
this 23dayof ,�Ak\—I, 20 M_by
Michael Hsissenberg
(Name of person acknowledging)
(Tgnature of ary Public -State of Florida ) (Tgnature of Notj ar{ Pub]',- State of Florida )
Pellrsonally Kn n \// OR Produced Identification Personally Known ✓/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. i� Z (Seal) c Commission No.eY 0.�,') a Wi I)Haleigh Short
�IARYgss Haleigh hors o� NOTARYPUBLIC
O r O�
URTU
3 , .11
oSTATEOFFLORIDA cmm#GG148342
Revised07/15/2014 :r�Nra i9l"*C0mrn#GG148342 S�Ncrt95/7519m
te Expires r.._:_
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS