HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .2-2, iq Permit Number:
MMER . ,'SCANNED
nib-O
IN T BY "I I ticie County RECEI
Building Permit Application
Planning and Development Services APR 2 2 20,
Building and Code Regulation Division ST. Lucie County,P
2300 Virginia Avenue, Fort Pierce FL 34982 1 H�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PRdP0S'ED,WP.ROVEMEWT LOCATION_
Address: 9500 S OCEAN DR 501
Legal Description: ISLANDIA 11 CONDOMINIUM UNIT 501
Property Tax to #: 4502-602-0035-000-5
Site Plan Name:
Project Name: Duryea
Setbacks Front Back: X
Install 1 accordion shutter
Right Side: Left Side:
Lot No.
Block No.
1=11LICTION'
I N
FORM T to ,\� i �, �-' e " -,-, ' - - , , �' , "I
alworKto-
rtormed under this
permit— cneCK all
apply:
11HVAC
— Gas Tank DGaPiping
Y/ Shutters E]Windows/Doors
11
Electric
El Plumbing OSprinklers
1i
Generator D Roof = Roof pitch
Total Sq. Ft of Construction: —
Cost of Construction: $ 8,539.00
S Ft of First Floor:
Utilities: "'n Sewer 0 Septic ptic
Building Height:
Name Katherine A Duryea
Name: Michael Heissenberg
Address:.9500 S Ocean DR Apt 501
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 609-751-4649
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 OT construction is SZ50U or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL-CONSTI2UCTION:LIEN LAW INFORMATION' LL
4 =4
DESIGNER/ENGINEER: _
Name: rltecolnc.
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
AddreSs: 6355 NW 36th St Suite 305
Address:
City: VlrglniaGardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
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 inspection. If you inten to obtain financing, consult with lender or an attorney before
commencinla work or recnrdine vourMtice of Commencement. _ //
STATE OF FLO I q STATE OF FLO A
COUNTY OF � I u&e COUNTY OF j��(IIf Q
The forgoing instrument W.T acknowledged before me The forgoing instrument w,, acknowledgehbefore me
this day ofI20 ,by this day of r 1 .20 by
Michael Helssenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification _
Type of IdentificationProduced_ Shnnnn 9
NOTARY F
Commission No. oCOd a�STATEOF
Revised 07/15/2014
Personally Known S�J OR Produced Identification
Type of Identification Produced ghganrin
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS