HomeMy WebLinkAboutBUIDLING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y Date: SCANNED Permit Number: Iq�lo Cv@_
BY
St. Lucie County
� RECEIVED
Building Permit Application JUN 10 1019
Planning and Development Services g De
Permitting nt
Building and Code Regulation Division partme
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOGATIONs m
Address: 9650 S OCEAN DR 1902
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1902
Property Tax ID #: 4502-610-0172-000-2 Lot No.
Site Plan Name: Block No.
Project Name: King
Setbacks Front X Back: X Right Side: Left Side:
:OET,, i ED DESGRIP.TION OF
Install 3 accordion shutters
CONSTRUCTibM I NFORMATION
titiona wor t0
e e orme under
tispermit—Check8
apply:
€
1IHVAC
El Gas Tank
Gas Piping
Shutters
❑ Windows/Doors
11 Electric
0 Plumbing
[]Sprinklers
Generator
0 Roof L—I Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:
$ 5,015.00
Utilities:In Sewer E]
Septic
Building Height:
'OWNER/LESSEEi =
;CONTRACTOR: ,
Name Kevin JKing
Name: Michael Heissenberg
Address:1182 Adrienne LN
Company: Expert Shutter Services
City: Seaford State: NY
Zip Code: 11783-1543 Fax:
Phone No.516-659-0906
Address: 668 SW Whitmore Dr
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 or construction is y2]UU or more, a RtLURDED Notice of commencement is required.
I'SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION: !1
Name: ritecomc.
Ad d reSS; 6355 NW 36th St Sure 305
City: Virginia Gardens State; FL
Zip:33t66 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
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 intQnd to obtain financing, consult with lende an attorney hefore
commencing worker re,cvrMne vow? Notice of Commencement. � / � y
STATE OF FL IDA
COUNTY OF } -tlAop
The ff in ginstru ent was acknowledged before me
this da of 20 9 b
Michael Heissenb&g
(Name of person acknowledging)
01Q 4N\- M&
(Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. o � r Sharon 0'!
c NOTARY PI
S STATE OF I
Revised 07/15/2014
STATE OF FL@i�ID
COUNTY OF c7t• &?p
The for oing instrument was acknowledgeeAfore me
this Ydayof_�IIne ,20 by
Michael Hsissenbetg
(Name
of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known —V— OR Produced Identification
Type of Identification Produced
%mmission No 0( 0 eal)Shanon O'Shea
izu
a nizrnn NOTARY PUBLIC
Expires 9/12/2022
Comm# OG268038
Expiros 9/12/2022
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