HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7 t�
Date: hU - i (p'l� SCANNED Permit Number: I QbLirf �'-I
BY
St. Lucie County R�cFiv
FD
Building Permit Application 4Af
Planning and Development Services pe`rhlr!/ 61�J9
Building and Code Regulation Division .St.
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 9650 S OCEAN DR 1404
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1404
Property Tax ID #: 4502-610-0124-000-1
Site Plan Name:
Project Name: Pawluc
Setbacks Front Back: X
Installl accordion shutter
Right Side
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11HVAC Ll Gas Tank Gas Piping
11 Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,468.00
a
Left Side:
IVI Shutters
0 Generator
S Ft. of First Floor: _
Utilities:n Sewer D Septic
Lot No.
Block No.
W indows/Doors
Roof Roof pitch
Building Height:
x
4
GU{�Tt ACTOR ht
Name Sonia M Pawluc
Name: Michael Heissenberg
Address:9650 S Ocean or Apt 1404
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-285-4410
Address: 668 SW Whitmore or
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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.
SUPPLEIdIENTALCONSTA'UCTI.ON;LIEN
LAW IM, RMATION; z
DESIGNER/ENGINEER: _
Name: Tiltewinc.
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 N W 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 Court 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 attorney befpre
as
STATE OF FLORIDA STATE OF FLTA
COUNTY OF�a-�UCA-t COUNTY OF ?�cF. t a de
The orgoing instru nt vas acknowledger�before me
this dayof 20� by
Michael Heissenberg
(Name of person acknowledging)
amp uw��_
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification n—O S lrea
Type of Identification Produced opSr
Revised 07/15/2014
The for oing instrument was acknowledge efore me
this � day of l � , 20 by
Michael Hsissenberg
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Id 'ficatig�l
Type of Identification Produced nonnon OS
W IA♦
ammissionSTATE OFFI
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