HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��
Date: SCANNED /�//��a oo2.a Permit Number: 9l -
12-4 By
_ St. Lucie County F`Fo
Building Permit Application Fez.
Planning and Development Services lying ?�19
Building and Code Regulation Division S 4 "7 D
2300 Virginia Avenue, Fort Pierce FL 34982 Count e4t
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROP05Ep INIPROVEl1lIENTLOCATIUN:,; 4 e ,
Address: 9550 S OCEAN DR 510 M w
Legal Description: ISLANDIA I CONDOMINIUM UNIT 510
Property Tax ID #: 4502-601-0044-000-8
Site Plan Name:
Project Name: Palagi
Setbacks Front Back: X
Install 2 accordion hurricane shutters
Right Side: Left Side:
Lot No.
Block No.
LUKU,(.1,10N
INFORM
'fr c
nr' t
oI
Work to
orme
spermit—check
all
appy:
OHVAC
Gas Tank
❑Gas Piping
�_ Shutters
❑
Windows/Doors
LIElectric
0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S(t� —F-t-.I of First Floor:
Cost of Construction:
$ 10,434.00
Utilities:11Sewer
OSeptic
Building Height:
r°r
CONTRAG=TOR:Name:
Name Alfred & Sharyn Palagi
Michael Heissenberg
Address: 9550 S Ocean DR 510
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-777-3186
Address: 668 SW Whitmore or
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
11 VdIUC o1 cunhuucuun a 7couu or more, a ncLunucu notice oT commencement is required.
it,
SUPPLEMENTAL CONSTRUCf{ON LIEN LAW INFORMATION:
xA
DESIGNER/ENGINEER: _ Not Applicable
Name: ritewlnc.
MORTGAGE COMPANY:
Name:
Not Applicable
Ad d res5: 6355 NW 361h St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or cor�din,� your N,itirP of r.nmmanramant
Signature
as Agen't_fbr Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSj- W(U A P COUNTY OF_4y- JA UC-Af
The forgoing instrument was acknowledged before me
this I -dayof e6 2019_by
Michael Heissenbv
(Name of person acknowledging )
Personally Known -ems OR Produced Identification
Type of Identification Produced
Commission No.GG I Lf u2 (Seal)
,Key.. Haleigh Short
The forgoing instrument was acknowledged before me
this �day of F*,eJ .20 I"/by
Michael Hsissenberg
(Name of person acknowledging)
State of Florida )
Personally Known D'- OR Produced Identification
Type of Identification Produced
Commission No.
('92 igh Short
NOTARY PUBLIC
s STATE OF FLORIDA
Revised 07/ 15/2014 = Comm# GG148342
Ca1xn# GG748342 E 1111 Exoirett 512Ar9n91
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS