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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: P - oos- y SCANNED BY I St. Lucie Building PermWCount Application RECEIVED Planning and Development Services ` DEC, 0 4 1018 Building and Code Regulation Division Pemllttin 2300 Virginia Avenue, Fort Pierce FL 34982 St. Luce Cpanment Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Shutter III Address: 9650 S Ocean Dr#1210 Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1210 Property Tax ID #: 4502-610-0120-000-3 Site Plan Name: Project Name: Cressman Setbacks Front x Back: x Install 3 Accordion Shutters Right Side: Ir�IIHVAC Gas Tank Gas Piping LlElectric Plumbing Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 10,269.00 Lot No. Block No. Left Side: Shutters ❑Windows/Doors Generator 11 Roof = Roof pitch S Ft. of First Floor: _ Utilities:cn Sewer []Septic Building Height: � 'CONTRACTOR , Name Walter Creasman Name: Michael Heissenberg Address: PO BOX 430 Company: Expert Shutter Services City: Richlandtown State: PA Zip Code: 18955 _ Fax: Phone No.267-767-8926 Address: 668 SW Whitmore Dr City: Port Saint Lucie Zip Code: 34984 Fax: Phone No. 772-871-1915 State: FL 772-871-0990 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 it value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: niftewlnc. Address: 6355 NW 36th St Suite 305 City: Virginia Gardens State: FL Zip: 33166 Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: _ Address: City: — Zip: ?LL-lI MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: _ Address: City:_ Zip: I certify that no work or installation has commenced prior to the issuance of a permit. Phone: Not Applicable _Not Applicable St. Lucie Counts• 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 OVVNER: 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 rrzC6rTline your Notice of Commencement. --"% � / as STATE OF FLU MA STATE OF FLORIDA COUNTY OfCOUNTY OF1�1- the forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 171 day of f yJLP_Y 10&} 6. 20 \%-by this 2') day of kQl3\j,(_VN"en 20_NTS by Michael Heissenearg Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging) Signature cli f otary Public- State of Florida ) (Signature of Uary Public- State of Florida ) li Personally Known �J OR Produced Identification Personally Known V/ OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No.C: Call � (Seal) Commission No. C Haieigh Short 5411gh Shod NOTARY PUB ICNOTARY PUBI it Revised 07/15/2014 STATE OF FLORIDA Comm# GG148342 Exoires 5l2Fnmi CoMn* GG 148342 Expires 5125vnno, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS a v