HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11. 9 • 17 SCANNED Permit Number: ri
BY
- 'r 'v° St. Lucie County igoRECEIVED
cm Building Permit Application NOV 0 9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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 #708
Legal Description: ISLANDIA I CONDOMINIUM UNIT 708
Property Tax ID #: 4502-601-0062-000-0
Site Plan Name:
Project Name: Brown
Setbacks Front Back: x
Install 1 accordion shutters
LJHVAC L_I Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,437.00
Right Side: Left Side:
pernui— rarecrc an apply:
1*71
Gas Piping _Shutters
Sprinklers F]Generator
S Ft. of First Floor: _
Utilities: Sewer []Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
•OWNER%LESSEE,-`
CONTRACICIM
Name Gerald Brown
Name: Michael Heissenberg
Address: 9550 S Ocean Dr #708
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.815-343-2113
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
If value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMPNTAt Cfl(VSTRIJCTIOIU+LlEt4,,lljUU31NFf3RMAT10N:1 , t F tIN�'A
DESIGNER/ENGINEER: _
Name: Tiilecoinc.
Not Applicable
MORTGAGE COMPANY:
Name:
X 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 reeordi�a veur Nokke of Commencement. �1 /
Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 7k i a 1C�--P COUNTY OF Si l A -&C
The forgoing instrument was acknowledged before me
this > day of t�� I -PC YJ! r. 20 jaby
Michael Helssenbm
(Name of person acknowledging )
The forgoing instrument was acknowledged before me
this S day of hl(`L)enoj e 1-20 _\Eby
Michael Hsissenberg
(Name of person acknowledging)
of Nbtdry Public- State of Florida )
Personally Knownv "� OR Produced Identification Personally Known J OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.GGrI q T'3-I2 (Seal) Commission No(S2I (W" Z (Seal)
Halelgh Short
�OS�.ibrr_ "---_.. _..... ... _.otMLAv.. Raleigh Short
Revised 07/15/2014
STATE OF FLORIDA
Comm# GG148342
5/2021
STATE OF FLORIDA
Comm# GG148342
es &25�2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS