HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2A, �' kIN. 6CANNED Permit Number: 11A, na6
`t LucBY RECEIVED
ie County
Building Permit Application AUG 0 2 2019
Planning and Development Services
Building and Code Regulation Division sT. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Shutter
I PROPOSED IMPROVEMENT.LOCATION:
Address: 9650 S OCEAN DR 1504
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1504
Property Tax ID #: 4502-610-0134-000-4
Site Plan Name:
Project Name: Sasseville
Setbacks Front X Back: X
install 3 accordion shutters
Right Side: Left Side:
Lot No.
Block No.
I CONSTRUCTION INFORMATION. {, °' ?' 'I
HVAC Gas Tank ❑Gas Piping ❑�_ Shutters Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,507.00
S Ft. of First Floor: _
Utilities:'n Sewer 0 Septic
Building Height:
OWNER/LESSEE:. 4 x,
CONTRACTOR: a ,
'
Name Sasseville, Maurice
Name: Michael Heissenberg
Address:142 Ocean Bay Dr.
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-349-2331
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.
SUPPLEMENTAL
GONSTRUCTIOfd LIEN LA, UV_INFQRMATION 'w .. ,
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecoinc.
MORTGAGE COMPANY: X Not Applicable
Name:
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
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 inspection. If you intend to obtain financing, consult with lender or an attorrpey before
commencing work or recording vo& Notice of Commencement.
as
STATE OF FLORIDA J 1 , / I' /f STATE OF COUNTY OF FLORIDA L�I /u C I'_
COUNTY OF l�l�l. -aC L 1,
The oVng instr nt was ackk�nowledged before me
thI day of LAW 20 Lby
Michael Heissenb6rg
(Name of person
Personally Known
Type of Identification
Revised 07/15/2014
State
OR Produced Identification
State of Florida
The fo tng instr�%V,en�t,was �acknowledged before me
thi�=((WWdayof t7lsic.91.tJ)L 20 aby
Michael Hsissenberg
(Na a of person acknowledging )
47�� �V�4�
(Signature of Notary Publ' State of Florida )
Personally Known VJ OR Produced Identification
Type of Identification Produced
GG,
No.
of Florida
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