HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: a ' bViO
BY R
St. Lucie County AFC.FO
m� Building Permit Application �S Q9 ° 7,f
Planning and Development Services ryP�Aa
Building and Code Regulation Division oo� Pop
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter III
Address: 9500 S Ocean Dr #1810
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1810
Property Tax ID #: 4502-602-174-000-1
Site Plan Name:
Project Name: Gallagher
Setbacks Front Back: x
Install 3 accordion shutters
LJHVAC L I Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:_
Cost of Construction: $ 11,729.00
Lot No.
Block No.
Right Side: Left Side:
aennn—cnecK du
apply:
❑
Sas Piping
_Shutters
Windows/Doors
Sprinklers
Generator
Roof Roof pitch
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OWiVER/LESSEE."" •` � �� � u
CONTRAG'I'C)R
- � �� �,;`
Name James Gallagher
Name: Michael Heissenberg
Address: 760 Cove Dr
Company: Expert Shutter Services
City: Port Austin State:
Zip Code: 48467 Fax:
Phone No. 989-738-6361
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 vame or construction is >zbuu or more, a nu.Ui<ueu Notice or commencement is required.
..i^
DESIGNER/ENGINEER: _ Not Applicable
Name: Tltecolnc.
MORTGAGE COMPANY: X Not Applicable
Name:
Ad d ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip:33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
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. 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 inspectigyprAyou intend to obtain financing, consult with lend an attoryrey before
commencing work or�ordihiavour Notice of Commencement. / /
00
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF'P* lA1 iP COUNTY OF , u6e
The for oing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this 2,_ day of \W)\jeMV1 y(__ _ . 20 l0 by this � day of K)C)k W YI Vj(, 20 ( by
Michael Heissentng Michael Hsissenbeng
(Name of person acknowledging) (Name of person acknowledging)
Public -State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.C-1G I L1�2 (S{q§14h Short Commission No. (Seal)
NOTARY PUBLIC Halelgh ShortNOTARY PUBLIC-
, ConVrIH 00148342 STATE OF FLORIDA
Revised 07/15/2014 ConVO 6/1463421 e? Comte GG148342
Expiret Fvniree F/9F/9n91
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
v