HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APOLICA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: $CANNED PermitNumber: )iIII-a4l]
BY' �CEIVED�
A St. Lucie County
is 0 E �&�" F
Building Permit Application NOV 2 7 2,018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMII APPLICATION FOR: Shutter
Address: 9960 S Ocean or #1905
Legal Description: THE MIRAMAR 11 UNIT 1905
Property Tax to #: 4502-702-0085-000-7
Site Plan Name:
Project Name: Gosk
Setbacks Front Back: X
Install 2 accordion Shutters
L_J Gas Tank
El Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,425.00
Lot No.
Block No.
Right Side: _ Left Side:
jerinit — cneCK all apply:
I
cas Pil: Shutters Windows/Doors
Sprinklers Generator E]Roof = Roof pitch
S Ft of First Floor:
Utilities"'Ll SewerE]Septic
Building Height:
Q.WNER/JXS
Name Marie Gosk
Name: Michael Heissenberg
Address: 9960 S Ocean Or #1905
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-1646
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
avame orconstrucuon is ;,zDuu or more, a MMUMULU Notice at commencement is required.
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af
DESIGNER/ ENGINEER: Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: ritemIne.
Name:
Address: 6355NW36th StSuite3O5
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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 171ict 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 efore
commencing work or re�vour R4tice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ' :�Or k X JCA e ICOUNTYOF, "ACA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _M day of _LD\JfJ9A &
�Y , 20 'k IQ
.�'_Vy thIsM day of �MY)U, 20 \�� by
Michael Hei�nb&g Michael Hsiswnberg
(Name of person acknowledging (Name of person ackn I dging
-(bignature ClUotary Public- State ot Florida ) (Signature of "ory Put
Personally Known \.,/ OR Produced Identification Personally Known J
Type of Identification Produced— ication Prc
Commission Noc-3c-.:, I 'Z (Seal)
Revised 07/15/2014
Commission No.
Haleigh Short
STATE OF FLORIDA
Comm# GG148342
State of Florida I
OR Produced Identification
S eA,H Shw
f.IA'EOFF:LORIDA
Ccmrn#GG148342
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