HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: A e. SCANNED permit Number:
BY
2; _ raj, :.�`, St. Lucie County RECEIVED
Building Permit Application AUG 0 2 9019
Planning and Development Services
Building and Code Regulation Division _ 5T. Lucia County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter' CpV�QC
,,PR`OPOSED IMPROVEMENT LOCATION:°
Address: 9650 S OCEAN DR 1709
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1709 (OR 4241-1
Property Tax ID #: 4502-610-0159-000-5
Site Plan Name:
Project Name: Zoerner
Setbacks FrontX Back: X Right Side: Left Side:
Lot No.
Block No.
DE�TAILED�DESCRIPTION OF WORK =
install 3 accordion shutters
CONSTRUCTION INFORMATION: t w {
11HVAC U Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,787.00
Gas Piping L]Shutters
Sprinklers FIGenerator
S Ft. of First Floor: _
Utilities:Cn Sewer 0 Septic
W indows/Doors
0— Roof = Roof pitch
Building Height:
OWNER/LESSEE: ° '- =
CONTRACTOR: , -•
Name Zoemer, Mary Ellen JR)
Name: Michael Heissenberg
Address:4312 Bridgelane PL
Company: Expert Shutter Services
City: New Albany State:OH
Zip Code: 43054 Fax:
Phone No.614-406-5051
Address: 668 SW Whitmore Or
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1916
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 Commencementis required.
a
SUPPLEMENTAL;CO,NSTRUCTIUfd
LIEN LA1N-INF,ORMATION
_
DESIGNER/ENGINEER: _ Not Applicable
Name: nitecolna
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th St Suite 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 Countv 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 intenq to obtain financing, consult with lender or an attorney before
commencine work or cet�flifre your Nbtice of Commencement. / /
as Agent f) r Owner
STATE OF FLORIDA N r Ir STATE OF COUNTY OF
�) _ f ' A c 1Le
COUNTY OF I't ` l- i', Cil
ZtT forgoing instrum nt wa acknowledged before me
_,t day of Vi V 20 /by
person
Notary Pub)rc-State of Florida )
The forgoing instru ent was ackn wledged before me
thmc 'Vday of �Aq\A 20 _d by
(N of person acknowledging) VA��
_
C)40"
(Signature of Notary P41ic- State of Florida
Personally Known V OR Produced Identification Personally Known 1
Type of Identification Produced I Type of Identification
No. e I Ctnmission No.
r.Imary Public State of Florida ^
Revised 07/15/2014
OR Produced Identification
Public State
GG 262653
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