HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONper. ../•
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: 116
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BY
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St. Lucie County
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
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PERMIT APPLICATION FOR: Shutter
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Address: 9650 S Ocean Dr #803
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 803
Property Tax ID #: 4502-610-0073-000-8
Lot No.
Site Plan Name: N
Block No.
Project Name: Conroy
Setbacks Front Back: x Right Side: Left Side:
Install 1 accordion shutter
nuuniunaiwu1xtoue errurmea unaertmspermit— cnecKall appiy:
11HVAC Ll Gas Tank []GasPiping Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator EIRoof Roof pitch
Total Sq. Ft of Construction: Sq. Ft'.Jj of First Floor:
Cost of Construction: $ 3,972.00 Utilities: LSewer Oseptic Building Height:
OSNNEf JLESSEE * ' u '
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iCQNTRACTOR
Name William Conroy III
Name: Michael Heissenberg
Address: 9650 S Ocean Dr #803
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.630-809-6420
Address: 668 SW Whitmore Dr
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
it value or construction is>ziuu or more, a ntcuxutu Notice or r:ommencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name: Tiitewinc.
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 SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 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 integd to obtain financing, consult with lender or an attprney before
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_,`�>r u 1C,1 f COUNTY OF '-2�)I,- WC J (
The for oing instrument was acknowledgedr,�¢efore me
this day of �D�CVItiIiY(1� . 20 1`bby
Michael Heesenbk9
(Name of person acknowledging )
The forgoing instrument was acknowledged before me
thisQ-1 dayof "VeMV3E'VN
.20 by
Michael Hsissenberg
Name of person acknowledging)
pngnatureWtNotary Public -State of Florida) ($ignature ofJN tary Public-Stateof Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. G N (Seal) Commission No. Gi�C.. (Seal)
Haleigh Short Haleigh Short
NOTARY PUPI=IG
Revised 07/15/2014 ❑STATE OF FLORIDA STATE OF FLORIDA
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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