HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED permit Number:
BY
St. Lucie County RFC
� FI�FD
Building Permit Application Perm, °a?9ie
lanning and Development Services uilding and Code Regulation Division 3r C
Bo"C/o
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
Address: 9500 S Ocean or #505
Legal Description: ISLANDIA 11 CONDOMINIUM UNIT 505
Property Tax ID #: 4502-602-0039-000-3
Site Plan Name:
Project Name: Nichols
Setbacks Front Back: x
Install 1 Accordion Shutter
LIHVAC LJGas Tank
❑Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7,632.00
Right Side: Left Side:
t�permit—c ecca app
Piping _Shutters ❑Windows/Doors
nklers ❑ Generator 1:1 Roof ❑ Roof pitch
_ S Ft. of First Floor: _
Utilities Sewer Septic
Lot No.
Block No.
Building Height:
OWNER/LESSEE
° €`; 1' t
a .<i r,a
TORta w
CONTRAC`+
Name N And P Investment Group LP
Name: Michael Heissenberg
Address: 2 Skyline Dr
Company: Expert Shutter Services
City: Clarks Summit State: PA
Zip Code: 18411 Fax:
Phone No. 570-840=5092
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
.a ,._ 15 JLZVV U1 more, a nn.unucu rvouce or commencement is regwrea.
SUPPLEMCN7Al CONSTRUCTIQN L4EiST'L4W.INFORMA?70N
2
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tiltewlnc.
Name:
Ad d ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 _ Phone: _
Zip: Phone:
FEE SIMPLE_ TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Applicable
Name: _
Name:
_Not
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 oroperty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend t99 obtain financing, consult with lender or an atto ney before
r& commencing work or eursling your NnYce of Commencement.
as
STATE OF FLORiOA STATE OF FLORIDA
COUNTY Of5h UAC1 _ _ COU14TYOFS� k kAC;.Q
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�L day of ,w\l k 20 aby this' t day of A:pk�,4 , 20 LL by
Michael Heissenbltg Michael Hsissenbetg
(Name of person acknowledging) (Name of person acknowledging)
State of Florida )
of Kojary Public- State of Florida )
Personally Known �OR Produced Identification Personally Known �.'-/OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission No(ac-IL i '-2t Z �Oti k $ nl)'"""a• .,�iviCommission No. —t1y� uiZ (Seal)
°-, NOTARYPUBLIC �ottfr na!e!gh Short
Comm# GG 148342 o STATE OF FLORIDA. RevisedUi/15/2U11 °;4eFt71% Expirps,5/95r7n9a aComm#GGt48342
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
INITIALS
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