HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 4
Date: Permit Number: RS
SCANNED I
BY
RECEIVED
St. Lucie County
Building Permit Application JUN 25 7019
Planning and Development Services Pertnitting Department
Building and Code Regulation Division St Lude County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
I If MUrtJJCUIiVIK.KUVtIV1tIW LULAAIUN:-,, ., 4 k
Address: 9650 S OCEAN DR 810
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 810
Property Tax ID #: 4502-610-0080-000-0
Site Plan Name:
Project Name: Fuller
Setbacks Front Back: X
install 2 accordion shutters
Right Side: Left Side:
Lot No.
Block No.
CbNSTRt1GTt„ON•IN
' RMA ION
Ka
rtiona worK to 13e ertormed un ert is permit - c ec
apply."
OHVAC
Gas Tank Gas Piping
Shutters
❑
Windows/Doors
Electric ElPlumbing Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 3106.00 Utilities: 0
Sewer Elseptic
Building
Height:
OW,NEt(lESSEE r. a.
_
CONTRACTOR..; '
Name David A Fuller
Name: Michael Heissenberg
Address: 9650 S Ocean Dr Apt 810
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP,P,LEMENTAL.CONSTRUCTION LIEN LAIN INFORMATION
.77
DESIGNER/ENGINEER: _ Not Applicable
Name: Mitecolnc.
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: VuginiaGardens State: FL
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
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 inspe5jjnu, IIXou interyyl to obtain financing, consult with lender or an attor"y before
as
STATE OF FLORIDA �.
COUNTY OF L�VI I
Th o ping instru nt was acknowledged�pefore me
th—day of ' � 2c N by
Michael Heissen4g
(Name of person
(Signature
STATE OF FLORIDA `L L IV`
COUNTY OF ,.J�
The fo!me
rg ng instrument was acknowledged before me
thin hdayof . J liAM 20 Lby
Michael
person
(Signature of Notary
Personally Known v OR Produced Identification Personally Known _
Type of Identification Produced Type of Identification
Commission NOGG a kva 653 ISeall Commission No(s �
State of
OR Produced Identification
Notary Public State of Flodda ,µ+tyre Notary Public State of Florida
ea er Izz
Revised 07/15/2014 My Commission GG 262653 My Commission GG 282653
OjI Expires 1111312022 �an Expires 1111312022
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