HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
:REC:EIVED
Planning and Development Services 9 2018Building
and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lunty, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
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Address: 9500 S Ocean Dr #PH-04
Legal Description: ISLANDIA II CONDOMINIUM UNIT PH-4
Property Tax ID #: 4502-602-0188-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Bhagwandat
Setbacks Front Back: x Right Side: Left Side:
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Install 1 accordion shutter
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aaitionaiworKtobenertormed under tis permit — cneCK a apply:
2_
1jHVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3,437.00 Utilities:]Sewer Septic Building Height:
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Name Allison Bhagwandat
Name: Michael Heissenberg
Address: 9029 SW 157th Court
Company: Expert Shutter Services
City: Miami State: FL
Address: 666 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 33196 Fax:
Phone No.305-962-8088
Zip Code: 34984 Fax: 772-871-0990
E-Mail:
Phone No. 772-871-1915
Fill in fee simple Title Holder on next page ( if different
E-Mail: Callexpert@aol.com
State or County License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of commencement is required.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: x
Not Applicable
Name: ilhecetnc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
-City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
= Not Applicable
BONDING COMPANY:
Applicable
Name:
_Not
Name:
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 Count yY makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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
commencine work or reeordine-vour Notice of Commencement. / 1
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Signature o Owner/Lessee/Contractor as Agentjr r Owner —
—
Signature of Contractor/License Hold
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF = - l 1 I(' i P
COUNTY OF !F* i,1 1C a
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this5�' dayof�V\)PMV__;rV , 20 JPxby
this _e�day ofi\iC-eD420 by
Michael Heissenbirg
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging )
(Signature of N to Public- State of Florida)
ignature of o ary Public- State of Florida )
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Personally Known OR Produced Identification
Personally Known V, OR Produced Identification
Type of Identification Produuceedd�
Type of Identification Produced
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Commission No.C1CI1L4PX3-rZ earl sleigh Short
Commission No. (n N7V11aleigh
)4ORYp PUBLIC
NOTARY PUBLIC
STATE OF FLORID
Revised07/15/2014 CormrdFGG148342 Aet4t0 Expires5125/2021I
t61 Expires 5/25/2021
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