Loading...
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" �t-_, � , . , o"t.- 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 ffil