HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q I l
Date: Q0.%j 1-1170!!R SCANNED Permit Number:
BY
ft St. Lucie County
RECEIVED
Building Permit Application MAY PY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
1 2019
ST. Lucie County, Permitting
Residential
PERMIT APPLICATION FOR: Shutter III
Address: 9500 S OCEAN DR 1709
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1709
Property Tax ID q: 4502-602-0163-000-1
Site Plan Name:
Project Name: Hightower
Setbacks Front Back: Right Side:
DETAIGED.DESGRIPTION.OF WORK 'm=
I Install 1 accordion shutter
Left Side:
r
Lot No.
Block No.
CON,STRLICTIQN.INFORMAT,ION:
.•. .P b''
�, I k,. =
itwna wor to e e orme un ert
ispermit—c ec
,_
a apply:
q
11HVAC
E] Gas Tank
❑Gas Piping
Shutters
❑ Windows/Doors
11 Electric 0 Plumbing
Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
Sar —F—t.� of First Floor:
Cost of Construction: $ 3,437.00
Utilities:Sewer
OSeptic
Building Height:
OWNEit/LESSEE: g.
CONTRACTOR:
Name Robert N Hightower Alicia M Perez
Name: Michael Heissenberg
Address: PO Box4376
Company: Expert Shutter Services
City: Clearwater State: FL
Zip Code: 33758 Fax:
Phone No.727-641-5485
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
11 Vtllue or coribxructlon is;lL uu or more, a newKueu Notice at commencement is required.
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All�1Y'�
DESIGNER/ENGINEER:
Name: rltewlnc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Add ress: 6355 NW 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 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 M inten4to obtain financing, consult with lender or an attorney before
Agent jef Owner
STATE OF FIC
STATE OF FLPI
COUNTY OF_�\�A1 C 1� COUNTY OF< u-cA ,
The forgoing�instrument was acknowledge efore me The forgoing instru ent was acknowledge efore me
this YT day of Q�1 20 14by this nday of— LLQQ— 20 by
Michael Heissenbirg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
ax K/ k&, b C1� 0(^ O
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
(� o NOTARY F
Commission No-.S 0 ESTATE OF
Comm# Gf
Revised 07/15/2014
Personally Known Xl� OR Produced Identification
Type of Identification Produced
�ppy Shanon O'Shea
emission No. c a NOTARY PUBLIC
an — _ --STATE OF FLORI
Expires 9/12/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS