HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY a
o St. Lucie County 00
Building Permit Application p&ira9p
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Planning and Development Services elf, n
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
PROP D IIWIP}30UEMENT
LOCA710N; "` )' ` n*"
Address: 9660 S OCEAN DR 405
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 405
Property Tax to q: 4502-610-0035-000-0 Lot No. .
Site Plan Name: Block No;
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILO DESCL2tPT�4NOF
WORK,-'';s # ?'
, ¢
Install 1 accordion shutter
,CONCCfttJN INFC3�2tVIAT1ON., �
STRU,
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Mona
wor to e e orme un ert ispermrt—c ec a apply:
�HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric OPlumbing Sprinklers 1:1Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 7,252.00 Utilities:Sewer OSeptic Building Height:
OWNER/LESSEE?GflIVTRACTOR
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Name ThomasAmold
Name: Michael Heissenberg�.xk.
Address:15835 Brook LN
Company: Expert Shutter Services
City: Brookfield State: WI
Address: 668 SW Whitmore Cr
City: Port Saint Lucie State: FL
Zip Code: 53005 Fax:
Phone No.414-467-1540
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.
SUPPLBfUIENTAL 6'_ STRUCTION;UEN LAlN INFORMATION`
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_
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tiltecolnc.
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:
Name:
_Not
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 ermcnrdlna votir Notice of Commencement.
STATE OF FLORIDA STATE OF FLIDRIDA
COUNTY OFC,2�)Jr 1 A I( .t O I COUNTY OF l A A C
The forgoing instrument was acknowledged before me The forgoing instrument wasowledged before me
Z this day ofA this22dayof KDVPM:Xacknr,20 i�_by
Michael Helssenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Signature of NjtaryPublic-State of Florida ) (Ugnature of Njary Public -State of Florida )
_Pu
Personally Known " OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. NOTARY NOTARYPUBLI CommissionNo.c-1C-1�14ZNC. (Seal)
S STATE OF FLOi 1DA Flaleigh Short
2
Revised 07/15/2014 E 1 Expires 512512.021 NOTARY
4 STATE OF FLORIDA
Commis GG148342
Ex
tires 5125
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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INITIALS