HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
Ir
St. Lucie County
Building Permit Application
Planning and Development Services S[ Y,79 0
Building and Code Regulation Division Lune oa eqF
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
QSEDJMPROV MENTLOCATIO
Address: 10680 S OCEAN DR 507
Legal Description: ISLAND CREST CONDOMINIUM UNIT 507 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-616-0054-000-8
Site Plan Name:
Project Name: HargislWiight
Setbacks Front )( Back: Right Side:
Install 3 Accordion hurricane shutters
Left Side:
Lot No.
Block No.
Jk
CT *k V �oIII
-
"HVAC II Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,489.00
PCJ 1111L — LIMLK dil apply:G as Piping 2*( Shutters
Sprinklers 0 Generator
S Ft of First Floor:
UtilitiesCnSewer D—
Septic
[:]Windows/Doors
1:1 Roof = Roof pitch
Building Height:
Name Kevin & Beatdz Hargis
Name: Michael Heissenberg
Address: 10680 S Ocean DR Apt 507
Company: Expert Shutter Services
City: Jensen.Beach State: FL
Zip Code: 34957 Fax:
Phone No. 802-223-6808
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: 16672
11 VdIUC V. LVIMLIULLIU11 1b ;12555 U1 mureo a MCLUKUtU Notice
is required.
1A,
Name: nllecolnc.
Add tress: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: : Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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
commencing work o r mouur Ndtice of Commencement. /J
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF, (A1Cli°_ COUNTY OF, ! t Pry?
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,— day of i—G(1> 20 )G16y this day of f5t4_'� , 20 (9 by
Michael Heissenblim Michael Hsissenberg
(Name of personacknowledging)(Name of person acknowledging)
State of
of I(oYry Public- State of Florida )
Personally Known X OR Produced Identification Personally Known bC OR Produced Identification
Type of Identification Produced Type of Identification Produced
�� p Haleigh Short
Commission No.G]�_qp2 ( ) Haleigh Short Commission No. �i y eWrARY PUBLIC
NOTARY PUBLIC STATE OF FLORIOA
s
Revised 07/15/2014 �a et�0a Corrnrgi13G148342 Expires 5I25/2021
Expires 6/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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