HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !/yy
Date: — Permit Number: 3 — /—
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SCANNED
e BY RECENED
St. Lucie County, MAR 0 4 1010
Building Permit Application
Planning and Development Services permitting Department
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
Address: 9500 S Ocean Dr #1401
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1401
Property Tax ID #: 4502-602-0125-000-3
Site Plan Name:
Project Name: HUNT
Setbacks Front Back: x Right Side
Install 3 accordion shutters
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OHVAC _ Gas Tank ❑Gas Piping
Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,352.00
Lot No.
Block No.
Left Side:
ZShutters ❑ Windows/Doors
11 Generator Roof = Roof pitch
S Ft. of First Floor: _
Utilities:In Sewer O Septic
Building Height:
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Name Michael Gortian
Name: Michael Heissenberg
Address: 9500 S Ocean Dr #1401
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-486-7711
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: ritecoInc.
Name:
Ad d ress: 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 intepd to obtain financing, consult with lender or an attpyney before
commencing work o_r. 6 rdiog vouf Notice of Commencement. n /
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `> - I COUNTY OF �1_ k u'd-e
The forgoing instrument was acknowledged before me
this i day of P(�(`kX-C )✓-1 20 n-by
Michael Heissenbft
(Name of person acknowledging)
of Notaiv Nblic- State
Personally Known nL OR Produced Identification
Type of Identification Produced
Haleigh Short
Commission No. `7 g4OTARY PUBLIC
STATE OF FLORID.
The forgoing instrument was acknowledged before me
this _�_ day of CYl(a1<C 1✓\ , 20 n by
Michael Hsissenberg
(Name of person acknowledging )
of Notal6v Aublic- State of Florida
Personally Known OG OR Produced Identification
Type of Identification Produced
Commission No. �� (Seal)
Haleigh Short
Revised 07/15/2014 OQ � Expires 5/251'G021 STATE OFFLORIDA
7i, =Comm# GG148342148342
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