HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:%Cu ! 1AA SCANNED Permit Number:
BY =RECEIVED"" o('ie County- Building Permit ApplicationPlanning 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
PERMIT APPLICATION FOR: Shutter III
ITROP.FJ4EI7 IMPROVEMENT LOCATION:`
Address: 9650 S OCEAN DR 606
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 606
Property Tax ID I#: 4502-610-0056-000-3
Site Plan Name:
Project Name: Banicki
Setbacks Front Back: X
Right Side:
Left Side:
Lot No.
Block No.
.DETP�ILER,DESGRIPTIONOF,,WORK , :
Install 1 Accordion Shutter.
CANSTRUCTIONJNFORMATION III
Add
dAnnaI .'e-erk 1n ho erenertnerm,m,d un or thee norm•f _ r or t n1 e....
LIHVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7.579.00
Piping L_IShutters
ors 11 Generator
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Windows/Doors
Roof = Roof pitch
Building Height:
OWNERJLESSEE
CONTRACTOR:
Name Katherine Banicki
Name: Michael Heissenberg
Address: 12959 Lincoln DR
Company: Expert Shutter Services
City:'Huntington Woods State:Ml
Zip Code: 48070 Fax:
Phone No. 248-755-4331
Address: 668 SW Whitmore or
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 of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP,PLEMENIALCONSTt2UCT1ON:LIEN LAW INFORMAlIOIV
o
='
a
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiitecolnc.
MORTGAGE COMPANY:
Name:
X Not Applicable
Address; 6355 NW 36th St stela 305
Address:
City: Virginia Gardens 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 inspe!Alon._Ayou injo.hd to obtain financing, consult with lend1pr-or,,an attorney befgfe
Owner
STATE OF FLORIDA ^� 1 ISTATE OF FLORIDA l_ L h�
COUNTY OF `J�` �� COUNTY OF 7
Th orgping instrurp t was acknowledged( efore me
th' �o xiay of 2011 by
Michael
person
State
Personally Known V OR Produced Identification
Type of Identification Produced
1DO1/V 11 IMU. 59H�ry Public state
a t0a(p53 :PJ-`r; Heather Viuo^
Revised 07/15/2014
Th��yfo�r�Loing instru ent was acknowledged before me
th>SN1�5 day of J U ! U 20 by
11
Michael Hsissenberg
(Name
(Signature of Notary Pub' -State of Fffr#
nown 77 Personally Kr Produced Identification
Type of Identification Produced
M
3
Publio State of Florkle
er Viuo
nnnissim GG 262653
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS