HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONtC II
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:_1g0a.
00.aa-
BY
St. Lucie Cr, :.
RECEIVED
Building Permit Application
Fee 1, 1019
Planning and Development Services
p@rmRtm
Building and Code Regulation Division
St, Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
•PROPwOSED
IMPROVEMENT:LOCATION:
Address: 9500 S OCEAN DR 1304
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1304
Property Tax ID #: 4502-602-0118-000-1
Lot No.
Site Plan Name:
Block No.
Project Name: Schiavi
Setbacks Front Back: X Right Side: Left Side:
DETAILED
D SGRIPf!(7N,�F U1 ORK
Install 1 accordion shutter
❑Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,404.00
ng LJ Shutters
ors ❑ Generator
S Ft of of First Floor: _
Utilities: iSewer❑Septic
Windows/Doors
❑ Roof ❑ Roof pitch
Building Height:
Name Adam J Schiavi
Name: Michael Heissenberg
Address: 320 Jasontown Rd
Company: Expert Shutter Services
City: Westminster State: FL
Zip Code: 21158 Fax:
Phone No.305-788-5663
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 of construction is $250D or more, a RECORDED Notice of Commencement is required.
k pi Nlfi Ct3 (sTkLiCilOf i f t� LAU INFOR
IATIC"
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Titecolno.
Name:
Ad d res5: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
City: State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
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 recordine vour Notice of Commencement_
Signature
as
STATE OF FL RIDA STATE OF FLORIDA
COUNTY OF WC I`C COUNTY OF s+ L A-1 C A P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I day of f�2_� 20 gby this t day of 4-9 20 �9 by
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging j
(Signature of Notary Public- State of Florida ) f (Signature of vnl
Public- State of Florida )
Personally Known DC OR Produced Identification Personally Known a OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �Hglei.4 Short Commission No. ��y? (Seal)
TARY PUBLIC �Ni fialeigh Short
NUM sSTATE OF FLORIDA NOTARY PUB
Revised 07/ 15/2014 a 9�0 C Expires 5/2612021 TAGG148342
TE OFFLORIDA
n ormgF 48342
• E 19 6 Expires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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