HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: �' SCANNED Permit Number:
BY
r St. Lucie County RECEIVED
Building Permit Application JUL 2 6 Z019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
Address: 9960 S OCEAN DR 1404
Legal Description: THE MIRAMAR II UNIT 1404 (OR 495-2930: 2735-2759: 2785-1976)
Property Tax ID #: 4502-702-0059-000-6
Site Plan Name:
Project Name: rwcel
Setbacks Front Back: X Right Side: X Left Side:
Installing 2 Accordion Shutters.
Lot No.
Block No.
Jwuunar wurrc ru ue
1:1
11 Electric
eriurmeu unaer u115 perm is—cnecrc au
_Gas Tank DasPiping_Shutters
0 Plumbing Sprinklers
apply:
Generator 1:1
Windows/Doors
Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 12,006.00 Utilities* ESeptic Building Height:
Roof pitch
flUIiNEtLESSEE: riiNiRAGTOR
Name Eva Kuceiova
Name: Michael Heissenberg
Address:9960 S Ocean Dr # 1404
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-341-8302
Address: 668 SW Whitmore or
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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.
s r��-�.E EWE licdk .lt k� ir'1=0kile�v, Nor naaroru
_,., . . _.
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:
Name:
X Not Applicable
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 inspectio If you interrs� to obtain financing, consult with lender or an attorney before
commencing work or cor ' your,blotice of Commencement. 1W
wgnarure or owner/Lessee/Lontractor as AgVtor owner signature of Contractor/License Holder V
STATE OF FLORIDA + STATE OF FLORIDA � L
COUNTY OF . L ACIt COUNTY OF �/I LuCI�
Th forgoing instrument was acknowledged efore me
th day of A 20 Llby
Michael
The forgoing instrument was acknowledged before me
thQ(+D-day of ZTU ( 20 L by
Michael Hsissenberg
(Name of person acknowledging)
SA
V
(Signature of Notary Publ' State of Florid
Personally Knowny OR Produced Identcation Personally Known �// OR Produced Identification
Type of Identification Produced Type of Identification Produced
Notary Pyblic- State of
"� Z`" ssion No.
Public State of FI ride
6r .-
Revised 07/15/2014
iblic State of Florida
Vizzo
fission GG 262653
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS