HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
,.:ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /V�
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..ce: SCANNED Permit Number: LV ' u_u
BY
St. Lucie County
RECEIVED
Building Permit Application JON 2.2019
Planning and Development Services Permitting Department
St. Luc
Building and Code Regulation Division Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSEDIMPRdVEMENTLOCA710N
Address: 9500 S Ocean Dr Apt 908 Jensen Beach, FL 34957
Legal Description: ISLANDIA II CONDOMINIUM UNIT 908(OR 772-1723)
Property Tax ID #: 4502-602-0082-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Osborne
Setbacks Front Back: 1 Right Side: Left Side:
DETAILEb DESCRIPTION,OFWORK'
Installation of 1 Accordion Shutter
AGC!NSTRUCTION`INF.ORIVIATION •_; : '
;;
IUona WUFK to e e orme under t—checkispermit a apply;
-HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
11 Electric OPlumbing ❑Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 3,360.00 Utilities: Sewer OSeptic Building Height:
OWNER/LESSEE."
CONTRACTOR ,>>
Name Jill M Osborne
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 9500 S Ocean or Apt 908
City: Jensen Beach State: FL
Address: 668 SW Whitmore or
City: Port Saint Lucie State: FL
Zip Code: 34957 Fax:
Phone No.614-210-0869
Zip Code: 34984 Fax: 772-871-0990
E-Mail:
Phone No. 772-871-1915
Fill in fee simple Title Holder on next page ( if different
E-Mail: Callexpert@aol.com
State or County License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEM
NTAL CONSTRRUCTION IEN t W INFORMATION;
DESIGNER/ENGINEER: _
Name: Tiltecolnc.
Not Applicable
MORTGAGE COMPANY_
Name:
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: x
Name:
Not Applicable
BONDING COMPANY: _Not
Name:
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 onyhe lobsit
before the first inspection. If you intend to obtain financing, consult with It?. or an attornedbefore
commencing work roc rdifi'Ovour Notice of Commencement. / /1 li7 //
STATE OF FLORIDA l'� STATE OF FLORIDA �
COUNTY OF JAI' Vt COUNTY OF
Th forgoing instrument was acknowledged -before me
thj�dayof T�AAP- 20 tby
Michael Heissenbing
(Name of perso
V ;
Personally Knowny OR Produced Identification
Type of 6
Identification
�O tii'o((n��Produce
d I,,,5 -7
Commission No.l3 na (Seal)
The or oing instrument was acknowledged efore me
th' day of ,-TU 20 by
Michael Hslssenberg
(N a of rson a knowledgingg))
(Signature of Notary PubJc- State of Flo
Personally Known ✓/ OR Produced Identification
Type of Identification Produced
Commission No1J G p(.;t `OS-T
Ay II
o la Public State of Florida Np181y public State W Floods
Heather ViZzO Healner VIUU
a ry or 2853
MyCommission26253 Cr2ymlbsiMGe
Revised07/15/2014 Expires + Expires 11111312022
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