HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNLU Permii Number: f _q 0 00
BY 4
St. Lucie County
RECEIVED
Building Permit Application JAN 0 2 2919
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucia Coijnt,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial �C�ov Residential
P PERMII APPLICATION FOR: Shutter
P OPO
ROPOSED IMPROVEMENT LOCATION:
Address: 9550 S Ocean Dr Unit 1706, Jensen Beach, FL 34957
Legal Description: Islandia I Condominium Unit 1706 (OR395-2365 :1794-1
Property Tax ID #: 4502-601-0160-000-7
Site Plan Name:
Project Name: Robert Schmitt
Setbacks
Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
I
::�7ps —,A I 1 0 -0 E_ A, <-- C 0 5& V-1 re X,
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
0HVAC U_ Gas Tank
11 Electric El Plumbing
Total Sq. Ft of CorMfuction:
Cost of Constr6�ion7:�$�')�� /0,
Piping Sh'u't'ters Windows/Doors
nklers Generator 110'of Roof pitch
S Ft. of First Floor:
Utilitiescn Sewer ElSeptic. Building Height:
OWNER/LESSEE'.
CONTRACTOR:
Name Rb6ert&MargiretSchrrfltt,'
N�ame' Ed.ww&.J,Heritage
Addr6ss.'9556 S'bcean or Unit 1706
C6 Foldini;i�6iter Corporation
mp
City: Jensbn Beach - State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-0178
,any...
Aciclress:'�'7760
city: Wesr State: P 4
Zip Code: -"'(13 Fax:
Phone No. 561-683-4811
E-Mail: PJA
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
—NotApplicable
_'M6RfdAGE COMPANY: Not Applicable
: I —
Name: NIA
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER:
Name: wA
Not Applicable
BONDING COMPANY: —Not Applicable
Name: NIA
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 1xict 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
commencine work or recordine vour Notice of Commencement.
Signature of Owner/,��� Ageqt for Owner
Signature of C ntra
� 1 0. C
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFPaim Beach
COUNTYOFPahn Beach
f * *
The ing instrurriSnit: was acknowledge fore me
Wday ltlt�by
The forVoIng instrunlent was acknowledged eforeme
A day we(z_
this of W4 c— 20
this of
Edward J. Hentage .
Edward J. Heritage
Name of persogmaking statement
Name of perso making statement
:7
Personally Known &�' OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Ica
(Signature of Notary Public- State of Florida P.
ature of Notary Public- State of FT6fi
Commission No. 169
A
Commission No. 'C'
N
OtGROVE
REVIEWS
FRONT
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17