HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. R.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCABNrNED Permit Number:
amq r St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
Residential
MAR 011019
Pecmittin9 e County nt
St. Lucf
PERMIT APPLICATION FOR: Shutter III
J'PROPOSEQ, IMPROVEMENT LO I N.:.i�ru
:r_r G
Address: 9960 S OCEAN DR PH105
Legal Description: THE MIRAMAR II UNIT PH105
Property Tax ID #: 4502-702-0090-000-5
Site Plan Name:
Project Name: Fletcher
Setbacks Front Back:
i Install 1 accordion shutter
Right Side:
Left Side: X
Lot No.
Block No.
'CONSTRUCTION INFORMATION:"{
<_
rtiona wor to e e
OHVAC
orme un ert is
apermrt—c ec
Gas Tank Gas Piping
all
apply:
Shutters
❑
Windows/Doors
11 Electric Plumbing ❑Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
ScFt. of First Floor:
Cost of Construction: $ 1,889.00 Utilities'.
Sewer
Septic
Building
Height:
OWNER/LESSEE;(
TRACTOR:
Name Richard and Allyson Fletcher r
Name: Michael Heissenberg
Address:14 S Glen Road
Company: Expert Shutter Services
City: Butler —State: NJ
Zip Code: 07405 Fax:
Phone No.201-341-6104
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL,CONSTRU,CLION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: TlltemInc.
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
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 inspectiga if you intend to obtain financing, consult with lender or an attorney before
commencing work or.Fecordipm vour Ndtice of Commencement. /7� //
as
STATE OF FLORlft
COUNTY OF
The forgoing instrument was acknowledge efore me
this ,day of MR lm In 20 Kby
STATE OF FLO A
COUNTY OF • LUC.Ie
The forgoing instrument was acknowledgedbefore me
this, day of L4,Q JT. , 20 by
Michael Heissenb&9
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging)
6`
o 01
(Signature of Notary Public -State of Florida)
(Signature of Notary Public- State of Florida )
Personally Known �OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. (SeSlian non O'Shea Commission No. ` y S;al�hanon O'Shea
1 YA
NOTARY PUBLIC NOTARY PUBLIC
W19rO.
STATE OF FLORIDA ,
Revised 07/15/2014Comm# GG258038 ? Comm# GG258038
FYnires 9/12/2022 ce t� Expires 9/12/2022
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