HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABI I; INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: YQ. Jig SCANNED Permit Num
BY
St. Lucie County
Building Permit Applicatioi
Planning 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
Address: 9650 S. Ocean Dr. #410
Legal Description: The Princess Of Hutchinson Island Unit 410 (OR 2321-1
C)
D
AUG 9 2019
Permitting Department
St. Lucie County, FL
Property Tax ID#: 4502-610-0040-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Law
Setbacks Front Back: X Right Side: Left Side:
�DESCRIPTI ON1OF
DET
AI�ED 913K,
install 3 accordion shufters
I CONSTRUCTION INFORMATION: - I I I I I
HVAC
Electric El
Gas Tank - Gas Piping
Plumbing []Sprinklers
Shutters []Windows/Doors
0—
Roof = Roof pitch
FIGenerator
Total Sq. Ft of Construction: _
Cost of Construction: $ 7742.00
S Ft of First Floor:
Utilities"'Ll Sewer 0 Septic
Building Height:
OWNERAESSEE:
CONTRACTbR: -
Name Law, Jon A.
Name: Michael Heissenberg
Address: 5 Mann Dr.
Company: Expert Shutter Services
City: Liverpool State: NY
Zip Code: 13088 Fax:
Phone No 315-569-4927
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 $2500 or more, a RECORDED Notice of Commencement is required.
�$IJJPOLE'
M�N
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TA 'N ' Rb " bNlbl�N LAW INFORMATION'
DESIGNER/ENGINEER: Not Applicable
Name: Tilteco Inc.
MORTGAGE COMPANY: X
Name:
NotApplicable
Ad d 16355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: - FIL
Zip: 33166 Phone:
City:
Zip: Phone:
—State:
FEE SIMPLE TITLE HOLDER: X NotApplicable
Name:
BONDING COMPANY: —Not
Name:
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 Court makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con%ict 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 Notic f C mencement must be recorded and posted on the jobsite
before the first inspectigp-4f YL intenyl000bi9m
ain financing, consult with lend in attorney re
commeni workol-AcciDdififtourN ticeofCommencement. 70"1 __., �F7
as Agent Tilt— Uwn er
STATE OF FLORIDA � STATE OF FLORIDA
COUNTYOF - Lu C )'k � COUNTY OF
The ing instrument was acknowledged before me
this 8�thod'ay'of A4U_5+ 26 Rby
Michael HeissencOrg
QWme of person ackn %A
"y
(Signature of Notary Pul
Personally,,, .. .... V_
Type of Identification Prc
Comm' ' N
,N . �yon o.
_T1 (001(4-53-
Revised 07/15/2014
01iii,h
OR Produced Identification
State of Florida
GG 262653
TheLr!�.inginstrur ntwasa k ledgedi me
thi —day of )Iuq 20 by
V
Michael Hsissenberg
(Name of person
State of Florida )
Personally Known - OR Produced Identification
Type of Identification Procluqt�
3ion No. NVgrbl!c State of Florida
H izzo
Exti
My Commission GG 262653
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