HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I .
Date: Permit Number:
REMED
Building Permit Application - DEC .04 tote
Planning and Development Services
Building and Code Regulation Division
permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982
st. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
x Residential
PERMIT APPLICATION FOR: Shutter
`PRO QSED,,�R�PE20VEtVlENT LOCATlp,N:Ix
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Address: 10680 S OCEAN DR 810
Legal Description: ISLAND CREST CONCOMINIUM UNIT 810 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-516-0087-000-8
Lot No.
Site Plan Name:
Block No.
Project Name: Cuadra
Setbacks Front Back: Right Side:
x Left Side:
DETAILED DESCE21P70(V
?
Install 1 accordion shutters
SCANNED
BY
St. Lucie County
GONSTRUCTNO IVI/iT4QN.
a e
itional worK to D rtormed unclerthispermit—c ec
Gas Tank ❑Gas Piping
all apply:
2_ Shutters ❑ Windows/Doors
j❑HVAC
LJElectric ❑Plumbing ❑Sprinklers
❑Generator ❑Roof ❑ Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7,511_00 Utilities:
S Ft. of First Floor:
Sewer ❑ Septic Building Height:
e0U1�i R ELEL SSEE '.,.,r„ '
Cnt>1Tf2'AGfOR y„ >'T
Name Enrique Cuadra
Name: Michael Heissenberg
Address:11621 SW 104thSt
Company: Expert Shutter Services
City: Miami State: FL
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 33176 _ Fax:
Phone No. 305-218-8842
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.
SUbLEIVI`ENl1L`'CCNST,flJCT10N'3LIE(V LAW INfORtJtATI`OIV =mowlei
DESIGNER/ENGINEER: _ Not Applicable
Name: rltecolnc.
MORTGAGE COMPANY: x
Name:
Not Applicable
Address: 6355 NW 361h St Suite 305
Address:
City: Virginia Gardens State: FL
Zip:33166 Phone:
City:
Zip: Phone:
State:
FEE :SIMPLF TITLE HOLDER: . _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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. wde County t makes o 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 1 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 attorr)> y before
commencing work or reectpcft vouf Notice of Commencement. 1--) —
s
Signature of Owner/Lessee/Contractor as Agb for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
CO UNTY OFI k
STATE OF FLORIDA
COUNTY OF -,-
uck
k K..0 e
The forgoing instrument was acknowledged fore me
The forgoing instrument was acknowledged before me
this— day of J�N~e)' 20 by
this /2�1 day of eMVr_r, 20 kSL by
Michael Heissenbirg
Michael Hsissenbetg
(Name of person acknowledging)
(Name of person acknowledging )
(. ignature of o ary Public -State of Florida)
ignature of o ry Public- State of Florida )
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. br=t\UA3Ll� eal)faleighShort
ComrnissionNo. C'11`i y2 (Seal)
5 NOTARY PUBLIC
Revised 07/15/20I.1 •� lea Comm#GG148342 , NONBlTARY PUBLIC
ete Expires 5/25/2021
_STATE OF FI narn
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1483
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEAT f0
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS