HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Iq \ a-d c 9 A
Date: 1a �1 \d SCANNED Permit Number=5T,L,,,J1_qe1y,
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 Residential
PERMIT APPLICATION FOR: Shutter III
Address: 9550 S Ocean or #308
Legal Description: ISLANDIA I CONDOMINIUM UNIT 308
Property Tax ID #: 4502-601-0022-000-8
Site Plan Name:
Project Name: aramooiy
Setbacks Front Back: x
Install 1 Accordion Shutter
11HVAC Ii Gas Tank
11 Electric OPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,437.00
Lot No.
Block No.
Right Side: Left Side:
Piping
LJShutters
Windows/Doors
nklers
Generator
11
Roof
=
Roof pitch
S Ft. of First Floor: _
Utilities:cn Sewer O Septic
Building Height:
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Name Michael Stamboly
Name: Michael Heissenberg
Address: 105 Dixon or
Company: Expert Shutter Services
City: Rome State: NY
Zip Code: 13440 Fax:
Phone No. 315-617-3267
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.
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SUf�PL£M N AL CONS1 RUCTIO w 1EN LAW fNFQR[VlATIOi�}.s
DESIGNER/ENGINEER:
Name: Tiltecolnc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable'
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip:33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
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: 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 intend to obtain financing, consult with lender or an attorney before
commencing work or reclardiRa your Noti'de of Commencement- O
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF'7—& 1 t AC'aC COUNTY OF_Q-}
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _Z3day of CC )D>ey 20 $by this28dayof (x_Ipbeh,20 1$by
Michael Heissentkit Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
State of
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. C GIqSY LJ 2 (Seal)
*STATE
Haleigh Short
OF FLORIDA
Revised 07/15/2014Con"F FLORI
of *ry Public- State of Florida )
Personally Known IJ OR Produced Identification
Type of Identification Produced
Commission No. G1C--11U 2 (Seal)
s rATE OF FLORIDA
Comma
Expire
+�wc
5/25/2021
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