HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater °^T SCANNED Permit Number: � L
BY
St. Lucie County RECEIVED
Building Permit Application APR 0 9 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
III J kit] U6XI;IINILfiIUI:(60:1to/Lgl0XiIiiAIm7►1
Address: 9650 S OCEAN DR 1409
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1409
Property Tax ID #: 4502-610-0129-000-6
Site Plan Name:
Project Name: Kirchhoefer
Setbacks Front Back: X
DETAILED DESCRIPTION OF WC
Install 1 accordion shutter
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCT)„QN
INFORMATION;
.,
diona wor to e e
�HVAC
orme un ert ispermit—c ec
Gas Tank []Gas Piping
al
apply:
�_ Shutters
❑Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
D Roof Roof pitch
Total Sq. Ft of Construction:
Ft
Sqj'-F—t.� of First Floor:
Cost of Construction: $ 3,703.00
Utilities:
E Septic
Building Height:
OWNER/LESSEE:
f
CONTRACTOR:
Name Keith Kirchhoefer
Name: Michael Heissenberg
Address: 520 Quail Ridge LN
Company: Expert Shutter Services
City: Saint Albans State:MO
Zip Code: 63073 Fax:
Phone No. 314-249-7544
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
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: Haleigh@ExpertShutters.com
State or County License: 16572
IT value or Construction is yZbUU or more, a HELUKUhU Notice of commencement is required.
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DESIGNER/ENGINEER:
Not Applicable
_
>4 `} 54 ,
Name: Tiliew Inc.
—
MORTGAGE COMPANY:
XNot Applicable
—
Address: ssss Mw asm si seas aos
Name:
Address:
City: VirginlaGaNens
State: FIL
City:
State:
Zip: aalss Phone:
Zip: Phone:
—
FEE SIMPLE TITLE HOLDER:
= Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
which is Inc o % tawlth any applicable Home Association) rulesabylaws or and covenants that build
restrict subject
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 Kotice of Commencement must be recorded and posted on the jobsite
before the first inspection If you Wend to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA STATE OF FLORIDA Y
COUNTY OF f * f .A 1 (J a COUNTY OF F'+
The If going instrument was acknowledged before me The forgoing instrument was acknowledged before me
this$dayofN0V1eM1Qey.203aby this_2_day of IV�Vf1Y\bGY 20V—) by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of tary Public- Stda ASignature of V
ry Public- state of Florida )
Personally Known OR Produced Identification _ Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No42—x 1�23 2 (Seal) Commission NO.C1G IL'2`�L I (S
Raleigh Short efl�eigh Short
NOTARY PUBLIC NOTARY PUBLIC
STA QF L R O
Revised 07/15/2014 ": Cw"GG14834z '+: Comm#GGta83az
Ex ires 5/25/2021 c 0 Expires 5/25/2021
REVIEWS
FRONT
G
]REVIEW
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS