HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa 0
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �,TPermit Number: IU_005
SCANNED
BY
Lucie County RECEIVED
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
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Address: 9650 S Ocean or #1204
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1204
Property Tax ID #: 4502-610-0114-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Inserra
Setbacks Front x Back: x Right Side: Left Side:
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Install 3 accordion shutters
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Additional work to �e
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�HVAC LJ Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator El Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Copnstructtion: $ 4,881.00 Utilities:/ Sewer Building Height:
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Name John Inserra
Name: Michael Heissenberg
Address:2441 SW 115th Terr
Company: Expert Shutter Services
City: Davie State: FL
Address: 668 SW Whitmore or
City: Port Saint Lucie State: FL
Zip Code: 33325 Fax:
Phone No.305-775-5567
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: . Not Applicable
Name: rltewinc.
Name:
Ad d ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City: State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contiict 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 recpflfling vci6r Notice of Commencement. i
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFg1- UJ(.l C I COUNTY OF k kxc '�-e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �J day of fern VY 11 20 J by this- day of }J()VCM17-ff , 20 J(3_ by
Michael Helssenoerg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
of
State of Florida )
Personally Known OR Produced Identification Personally Known "v OR Produced Identification
Type of Identification Prodtu�cced Type of Identification Produced
Commission No.(iG-/ (`�-I b, 142 (Seal) Commission NoCC- alL,�2 (Sea])
Short
WAIFAri Short A&4N NOTARY PUBLIC
NOTARY PUBLIC STATE OF FLORIDA a Revised 07/15/2014 ~ Oamrv# GG14B342
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