HomeMy WebLinkAboutBUILDING PERMIT APPLICATION11
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,l�� SC BN�NED Permit Number: 1°�0-1-05CoQQ�
St. Lucie County RECEIVED
Building Permit Application JUL 2 6 2019
Planning and Development Services ST, 1.4c1e county, Perml[d0
Building and Code Regulation Division y� 0
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PEaOFOSMlMPROV MENTLOCATION.&'"
Address: 9650 S OCEAN DR 1710
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1710 (OR 3469-1045; 4008-1364)
Property Tax ID #: 4502-610-0160-000-5
Site Plan Name:
Project Name: Benchetrit
Setbacks Front Back: X
Install 1 Accordion Shutter.
Right Side: Left Side:
Lot No.
Block No.
�HVAC
u Gas Tank
Gas Piping
14Shutters
❑
Windows/Doors
Electric
OPlumbing
[]Sprinklers
11 Generator
Roof
=
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5,902.00
S Ft. of First Floor: _
Utilities:'n Sewer E]Septic
Building Height:
OWNER/LESSEE: "
CO(UTRACTC?R:. a
Name Lucia Benchetdt
Name: Michael Heissenberg
Address:7821 SW 183rd TER
Company: Expert Shutter Services
City: Palmetto Bay State: FL
Zip Code: 33157 Fax:
Phone No. 305-972-9859
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.
a5UPP;�:E[VI�It�'FA[_�:CONSTRUGTION-i.IEN '
'� `"
IAUV INPORMATION:
r �
; � � � .•
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tllteminc.
Name:
Ad d ress: 6355 NW 36th St suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 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-y�ou intend to o�1tain financing, consult with lender or an attorney bemire
commencing work or reaordin§ vomNoticw f Commencement.
signature ot'owner/Lessee/LWractor as Agent for Owner Signature�eYContractor/License HSlder v / \
STATE OF FLORIDA J_ I ' ' I � C UTNTY OF FLORIDA 5� L1 A C 1 ov
COUNTY OF �l Lw� V► —C
Th gQ'ng instrun�gat was acknowledged efore me
t=dayofy� 20 )�by
Michael Heissenberg
(Name of perso acknowledging)
01� SL�m
(Signature of Notary Pub1(c-State of Moilda )
Type of
Th for ing instru t was acknowledged before me
tfai6 —,day of 20 R by
Michael Hsissenberg
(Name of person acknowledging)
(Signature of Notary Public- State of Flobba )
Known V OR Produced Identification I Personally Known �_ OR Produced Identification
ntification Produced Type of Identification Produced
No. y k4 �Sig9nPWic State of Florida
*, aa'tmli(i Vizzo
? .. . My Commission GG 262653
Revised 07/15/2014
No. ,ifi aoota�ry,PuC: State of Florida
uW+ trVreer Vizzo
My Commission GG 262653
y,
qTdExpires 11/1312022
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