HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONv *-1-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: 1 g 1 a - V 65
_ BY
St. Lucie County
Building Permit Application ItECENED
Planning and Development Services DEC. 0 4 2010
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Pennitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential St. Lucie county
PERMIT APPLICATION FOR: Shutter III
Address: 9650 S OCEAN DR 806
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 806
Property Tax I D #: 4502-610-0076-000-9
Site Plan Name:
Project Name: Maloney
Setbacks Front Back: x
Install 1 Accordion Shutter
HVAC L_I Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 7,201.00
Lot No.
Block No.
Right Side: Left Side:
mt— cnecKau
appiy:
Piping
_Shutters
0Windows/Doors
nklers
Generator
0
Roof = Roof pitch
S Ft. of First Floor:
Utilities:Sewer0Septic Building Height:
OWNER%LES5EE li° `�� " '
COW RAIOR
Name Lorraine Maloney
Name: Michael Heissenberg
Address: 9650 S Ocean or #806
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.631-521-6158
Address: 668 SW Whitmore or
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 vame or construction is >zbuu or more, a Kt:LU tutD Notice of commencement is required.
N
v
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: rlteminc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33186 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: . _
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 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 or co d4w vourMotice of Commencement -
as
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY- OF22 k A 1 C Ae COUNTY OF SI- � A A C A e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this � day of MOV�vYI rX , 20 `�by this27l day of Pr , 20 1� by
Michael Heissentnirg - Michael Hsissenberg
(Name of person acknowledging j (Name of person acknowledging j
(Signature of NJary Public -State of Florida )
Personally Known `✓POR Produced Identification
Type of Identification Produced
Commission No.GIG jl call
Haleigh
Public -State of Florida)
Personally Known J OR Produced Identification
Type of Identification Produced
h Short
RYPUBLIC
STATE OF FLORIDA
Comird/Et'
Revised07/15/2014 Ezplres,5126/2021Expires
sEx ires5/25/2021 II
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS