HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Y SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
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
PERMIT APPLICATION FOR: Shutter
Address: 10680 S Ocean Dr #801
1C'�""47—
OCT 08 2018,
Permitting DepartmE
i erttial Lucie County, F
Legal Description: ISLAND CREST CONDOMINIUM UNIT 801 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0078-000-2
Site Plan Name:
ProjectName: Spillane
Setbacks Front Back: x
Install 1 accordion shutter
HVAC II Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 475.00
Lot No.
Block No.
Right Side: Left Side:
Piping
14 Shutters
❑Windows/Doors
nklers
11 Generator
0
Roof
=
Roof pitch
S Ft. of First Floor: _
Utilities:cnSewer 0Septic
Building Height:
n.. ..
Co
Name Laurie Spillane
Name: Michael Heissenberg
Address:2290 NW Crystal Lake Dr
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-215-2270
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
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
rSUPPLE�i�T�C�ONSTRUCT101���1Efi� WW INEORMA�'t0�1 �
� � �
DESIGNER/ENGINEER: _
Name: Tillecolnc.
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Ad dress: 6355 NW 361h Si Suite 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 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: roam 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 attorney before
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sk LA L owe COUNTY OF Sh— U x A 0
The f rgoing instrument was acknowledge5��qefore me The f rgoing instrument was acknowledged before me
this day off (� 11 20=6by this day of %CJ� . 20 ]� by
Michael Heisenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Personally Known - OR Produced Identification
Type of Identification Produced
Raleigh Short
Commission No.C—i � QSQARYPU13LIC
�'' STATE OF FLORIDA
rs' Revised 07/15/2014 Expires 5/25/2021
of N$tahV Public- State
Personally Known" - OR Produced Identification
Type of Identification Produced
Commission No.t—a�G ) Wg SLQ (Seal)
Haleigh Short
STATE OF FLORIDA
Commtf GG14B342
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