HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA/IB(L(�E INFOM U BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED
Permit Number: V O owl
BY
® I St. Lucie CountyRECEIVED
Building Permit AllPlication APR I62010
Planning and Development Services Pe
Build
ng and
de Regulation
ivision
23001 Virginia Aavenue, Fort Piece FL 34992 St. Cu 9 Depart
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROFCJSEti MPRQU tOCALiO�V5 ; t:
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Address: 9500 S OCEAN DR 406
Legal Description: ISLANDIA II CONDOMINIUM UNIT 406
Property Tax ID #: 4502-602-0030-000-0
Site Plan Name:
Project Name: Brennan
Setbacks Front Back: X
Install 1 accordion shutter
Right Side: Left Side:
Lot No.
Block No.
HaaaionaiworKiooe errormea unaertmspermit— cnecKau appry:
�HVAC Gas Tank E]GasPiping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sct. of First Floor:
Cost of Construction: $ 7,436.00 Utilities: Sewer 0 Septic Building Height:
,dc'YN At k t' ,, , x `
Name Robert Brennan
Name: Michael Heissenberg
Address: 9500 S OCEAN DR 406
Company: Expert Shutter Services
City:.lesen Beach State:FL
Zip Code: 34957 Fax:
Phone No.269-501-5194
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Maik
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.
SUPPLEMENTALCONSIRtJCTION
LIEN LAW INFORMATION
DESIGNER/ENGINEER:
Name: TiltewInc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 6355 NW 36th St suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x 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 inspec on. If you intend to obtain financing, consult with lendattorney before
commencin¢ workordina vouf Notice of Commencement. / )
STATE OF FLO DA STATE OF FL IDA ,
COUNTYOF LInC_l� COUNTYOF�\aCLe
The f r oing instrument %vas acknowledge before me
this day of &X 20 U-by
Michael Helssenbim
(Name of person acknowledging )
WO, Duk
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Shanon O'Shea
Commission No.V yNOTARY PUBL
a STATE OF FLO
Revised 07/15/2014
The for ing instrument w9s acknowledged before me
this JtDday of f l W 1 1� 20 4 by
Michael Hsissenberg
(Name of person acknowledging )
Ah AQ, k 0i WAP,
(Signature of Notary Public- State of Florida )
Personally Known,/OR Produced Identification
Type of Identification Produced
`
:Commission No nU-'+ WSeal) Shanon O'Shea
IDA lll
, NOTARY PUBLIC
Expires 9/1212022
Comm# GG258038
Expires 9/1212OZ
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