HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�/�
Date: Lr� Permit Number: l-�tlU d� I� 1
Ole 09dam-
Building Permit Application 4ARl
Planning and Development Services Per 61#I9
ng
Build
and
oe Regulation
vision
2300'Viirg niaCAvenue, Fort Pierce a FL 34982 t i<uQe Court eat
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED WPROVEMENT;LOCATiOfV: �'-,-
Address: 9650 S OCEAN DR 2007
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 2007
Property Tax ID #: 4502-610-0187-000-0
Site Plan Name:
Project Name: Dematteo
Setbacks Front Back: X
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION
Install 1 accordion shutter SCANNED
BY
St. Lucie County
CONSTRUCTION! INFORMATION:'
AdditionaiworKtOnenertormeaunclerthispermit—c ec a apply:
�HVAC Gas Tank Gas Piping Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sct. of First Floor:
Cost of Construction: $ 3,564.00 Utilities: Sewer E]Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:. r
Name Gloria Dematteo
Name: Michael Heissenberg
Address:317 Kimberly PL
Company: Expert Shutter Services
City: West Islip State: NY
Zip Code: 11795 Fax:
Phone No.631-445-7921
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
It value of construction is s2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name: Tilteca Inc.
Ad d ress: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
MORTGAGE COMPANY: X Nat Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: = 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 inyourpaying 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� vouAotice of Commencement. � — //
STATE OF FLOR A - STATE OF FL DA
COUNTY OF�JI&� _ COUNTY OF-l�,tCIP_
The fo Ding instru'mI\a�jy` w^in51 acknowledge efore me The forgoing instrument was acknowledged efore me
this �� day of 1 20 aby this J� day of __14JXJ 1 20 by
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida j
Personally Known V/ OR Produced Identification
Type of Identification Produced_ IRVSharon USN
'Po NOTARY PUB
Commission NoCpj Q?� — _ SSTATE OF FL
Comm# GG2:
Revised 07/15/2014
o
(Signature of Notary Public- State of Florida )
Personally Know17/ OR Produced Identification
Tvoe of Identification Produced _.
NOTARY P
STATE OF
Commit GC
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