HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit NumberilRou.
BY
St. Lucie County
Building Permit Application
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 Residential
RECEIVED
'UN 2.5 2019
Permitting Department
St. Lucie County
PERMIT APPLICATION FOR: Shutter
l�PROPOSED -IMPRO,VEME'NTL(JcAtibN:"
-3
Address: 9550 S OCEAN DR 904
Legal Description: ISLANDIA I CONDOMINIUM UNIT 904
Property Tax ID #: 4502-601-0078-000-5
Lot No.
Site Plan Name:
Block No.
Project Name: Whitehouse
Setbacks Front Back: X Right Side: Left Side:
qItfAILtb Dt §QR! PTI 0 WOF
WORK
Install I accordion shutter
�boN$fR(I(fION
HVAC ❑ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,493.00
I I I L — U MUK dil 2 d Pply-
Pil — V*4' Shutters
nklers OGenerator
S Ft of First Floor:
UtilitiesCnSewer E]Septic
❑ Windows/Doors
Roof = Roof pitch.
Building Height:
19OW NEF/LESSEE:'
00
NTRA C,TOR:--
Name Richard C Whitehouse
Name: Michael Heissenberg
Address: 1820 NE Jensen Beach BLVD # 621
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-208-7866
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 p&wii or more, a KtLUKIJLU Notice or commencement is required.
SUPPLEMENTAL CANST_RU(7ION,LIEN L4V1/ INFORMATION ;
DESIGNER/ENGINEER: Not Applicable
Name: rltemInc.
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: easy Hw 3etn St suite 305
Address:
City:Virginia Gardens State: FL
Zip: 331e6 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: = 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 9n the jobsite
before the first inspection. If you inteno obtain financing, consult with lender oyap attorXil'y before
commencing work o ecor ' your N ice of Commencement. ��
3ignawre or uwneqLessee/Lontracior as Agenuwner
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N
"NUTE OF FLO`
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Notary Public- State of Florida
STATE OF FLO A
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The forgoing instalment was acknowledged efore me
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this day of �A.(ne .
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Michael Hsissenberg
(Name of person acknowledging)
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(Sign—aTure of -Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known V_11'_ OR Produced Identification
Type of Identification Produced ch.non O'Shea Type of Identification Produced
&My o� NOTARY PU I�j�j�'2Q'
Commission Nc C63� cQ ) 5 STATE OF FLO P nmission No g try eal�hanon O'Shea
M . 2 Camm# GG258 38 a NOTARY PUBLIC
1022 cQ ' S STATE OF FLORID
Revised 07/15/2014 Noet ` �= Comm#
ONCE RF Expires 911212022
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