HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , -Qs� . � A - SCANNED Permit Number: SS z
011111111111 BY - ED
St. Lucie County R CEV
Building Permit Application SE P 2 5 2018
Luc, cc '0
Planning and Development Services EsT e7u nty �r 1
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter- Ov"r�b
E�OPQ$EO (MPRC _EMt-,
�z 7
Address: 10680S Ocean Dr#110
Legal Description: ISLAND CREST CONDOMINIUM UNIT 110 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0017-000-7
Site Plan Name:
Project Name: Altbuch
Setbacks Front x Back:
Right Side:
Left Side:
',DETAILE DES RIPT 1� � 'f � e",
p
ll,a �,��,C _, IPN-OF#ORK,,';
I Install 2 Accordion Shutters
Lot No.
Block No.
�UUILIUJiGi VVVI R LU Ulnj I U1 I 11MU U1 IUVI LIM pennit — cneCK all [Z apply:
HVA GasTank Das P! - V/ Shutters 0 Windows/Doors
Electric Plumbing E]Sprinklers ElGenerator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ 2,128.00 Utilitiest] Sewer OSeptic Building Height:
,/jLtS
N�R
C0111TRAC, OR:
Name Arthur And Susan Altbuch
Name: Michael Heissenberg
Address: 10680 S Ocean or #110
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34967 Fax:
Phone No. 708-751-7443
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 Holderan nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16672
ii vdiue ur consxruction is ;�z�uu or more, a MLLUKULD Notice at cornmencerrient is required.
Name: Tiltecoinc.
Add tress: 6355 NW 36th St Suite 305
City: virginlaGa ens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X NotApplicable
Name:
Address:
City:
Zip: —
Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conxict 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 inspeqtk4i. If you inteird to obtain financing, consult wit r�"or att5prfey before
commencing workof rerbr-dkig vout;Notice of Commencement. >al�
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOFI—:�� \JXCk�! I COUNTY ClFa:,� 1, ), JC-k-e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -7,\ day of 20 \aby I this 'Oli day of 20 19 by
Michael Heis&enbk9 Michael Hsissenberg
(Name of person acknowledging (Name of person acknowledging
1(5ignature of NOt�ry Public- State of Florida )
Personally Known V/ OR Produced identification
Type of Identification Produced_
Commission No.
of 1\16,tai� Public- State of Florida )
Personally Known �-/ OR Produced Identification
Type of Identification Produced
(Stifth Short Commission No.
� NOTARY PUBLIC I
(6*Wb Short
NOTARY PUBLIC
ComrrF#GG148342 F COmm# GG148U2
Revised 07/15/2014 Expires 6/25/2021 lt'IV Expires .5/25/2021
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