HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf�- —�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/31/2018 SCANNED Permit Number:
I BY
I M; St. Lucie County
Building Permit Application SEP I I zoill
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
I PERMIT APPLICATION FOR: Shutter III
'PROPOSED IMPROVEMENT LOCATION: - -�� 1�1 . I I 1 1— — -- .
Address: 10680 S OCEAN DR #1106 JENSEN BEACH, FL 34957
Legal Description: ISLAND CREST CONDOMINIUM UNIT 1106 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ]D#: 4511-516-0113-000-0
Site Plan Name:
Project Name: LOPEZ
Setbacks Front x Back: x Right Side:
Install 2 accordion shutters
Left Side:
Lot No.
Block No.
1`�CQNSTRIJcTON INFORMATION:
Aaclitionalworl(to Ile nertormea
11HVA1
unclertnis
Gas Tank
permit —check
E]Gas Piping
all
apply.
Shutters
OWindows/Doors
11 Electric Plumbing
[]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sc Ft of First Floor:
Cost of Construction: $ $3,806.00
Utilities.,
L]
Sewer 0Septic
Building Height:_
OWNER/�E$SEE:-
CONTRACTOR'
Name Jorge A Lopez
Name: Michael Heissenberg
Address: 13701 SW 88th ST Ste 200A
Company: Expert Shutter Services
City: Miami State: FL
Zip Code: 33186 Fax:
Phone No. 786-200-6580
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.
;0
�s W IN, RMATIO
DESIGN ER/ENGI NEER:
Name: Ttitecoinc.
Not Applicable
MORTGAGE COMPANY:
Name:
x NotApplicable
Ad d resS: 6355 NW 36th St SUfte 305
Address:
City: Virginia Gardens -
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
—State:
FEE SIMPLE TITLE HOLDER: X
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 ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions yhich may apply.
w
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 intprid to obtain financing, consult with lender or an attorney before
commencing work or-FeciDr-ding voLtr Notice of Commencement. W--)
s
Signature ot Owner/ . Lessed/ContractQl as 119T t for Owner
SignEfture of Contrlctor/U�ense Holcrer\,(
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY 017,1-'�� J -k A r j,<
COUNTY OF- k K ir
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this --U day of 20 Xaby
this U day of 20 _�& by
Michael Heissenblim
Michael Hsissenberg
(Name of person acknowledging
(Name of person acknowledging
J/11 0.4 rA a2L
I QMLA
I(Signature of Njoary Public- State of Florida
Tsignature of Poo ary Public- State of Florida
-./
Personally Known OR Produced Identification
Personally Known V/ OR Produced Identification
Type of Identification Produced_
Type of Identification Produced
Commission No6G1'4e3L/.2 (Seal)
Commission No. (Seal)
Haleigh Short
g
Haleigh Short
STATE OF FLORIDA Sixii'i� Z8W11DA
Revised 07/15/2014 Com"GG148342 Ca" GG148342
I W/� .1 - - wmmell 11
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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INITIALS