HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr� 0 (0 i a )dr 15030 rn,�4d")?c (-SLc)
ALL APPLICABLE INFO MUST BE CCI:.r' 1ETED FOR APPLICATION TO BE ACCEPTED {�
Date: �a ��—LB� SCANNED Permit Number:
BY
--� St. Lucie County a
� R
Building Permit Application of FCFo
Planning and Development Services PLy CI'
Building and Code Regulation Division gt 1�/� 099Iva
2300 Virginia Avenue, Fort Pierce FL 34982 COIJ �(7 % pe
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Reside .___t' of
PERMIT APPLICATION FOR: Shutter
I PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Dr Unit 1907
Legal Description: Isiandia II Condominium Unit 1907 (OR 1146-104)
Property Tax ID #: 4502-602-0181-000-3
Site Plan Name:
Project Name: Thomas Michaux
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
��,uSTa41l 6)ue- fi cco i e&D v7T'�oc.
Lot No.
Block No.
CONSTRUCTION INFORMATION: III
MUUILIUIIGI WUIR LU UC CIIVIIIICU UIIUCI LIIp PC11111L-1d
HVAC Gas Tank ❑Gas Piping
'Electric OPlumbing Sprinklers
Total Sq. Ft of Construction:
I pQ l 1•• /
Cost of Construction: $ G -7a
❑✓_ Shutters ❑ Windows/Doors
Generator Roof
S,c Ft. of First Floor: _
utilities: Sewer E] Septic
Building Height:
Roof pitch?
OWNER/LESSEE:
CONTRACTOR:
Name Thomas & Patrice Michaux
Name' Edward J. Heritage
Addr'ess: 9500 S Ocean Dr Unit 1907
Company: Folding Shutter Corporation
City: Jensen Beach State: FL
Zip Code: 34994 Fax:
Phone No. 609-923-3121
Address: !ago f{eM3T—ice 2�
City:wE'T A44L I State: FL
Zip Code: 3 3 y 13 Fax: 561-640-8204
Phone No. 561-683-4811
E-Mail: n/a
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: info@foldingshutters.com
State or County License: SCC131151041
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 recording your Notice of Commencement.
Siguat�re of�Owner,1''es a Contractor as nt for Owner
SignatureidContra`ct' 'icense.Holder -
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Pam Beach
COUNTY OF Palm Beach
The for oing instru t was acknowledge before me
EL �by
The fgrgging instrumen[was acknowledged_before me
/_�Cday kJ lr-_IC El -by
this I� day of 20
this of 20
Edward J. Heritage
Edward J. Heritage
'�J` Name of person making statement
Name of person making statement
Rsonally Known x OR Produced Identification
Personally Known • OR Produced Identificatio
ype of Identification
Type of Identification .g
Oduced
Produced
m
4O
(Signature of Notary Public -State of Floridan -0
(Signature of Notary Public -State of Florida )
(�'fY•ZL%?89 )
mission No. (Seal)
Commission No. (rCraL�7g9 (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW..
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17