HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Sly C J
Date: Iq
SCANNED Permit Num e
11111111110 BY Rft7EMD
St. Lucie County
Building Permit Applicatio AUG 9 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie CountY, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 9650 S. Ocean Dr. #1806
Legal Description: The Princess Of Hutchinson Island Unit 1806 (OR 3440-1
Property Tax to #: 4502-610-0166-000-7
Site Plan Name:
Project Name: Samer
Setbacks Front Back: X
bt,TAILE qEkRf0fibN'bF-wbR'K':
install 1 accordion shutter
Right Side
Left Side:
Lot No.
Block No.
,,CON �MICITIVIWORMATIONr
16T�R
al worK to 13 rformed unclert�is 56i�it—Ehiici ail apply:
E1HVAC flGasTank 0Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing E]Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ 7374.00 Utilities..'n Sewer E]Septic Building Height:
RA(T
'Name Samer, Patricia A., Ronald Q., & Lisa M.
Name: Michael Heissenberg
Address:_14 Cheriton Dr.
Company: Expert Shutter Services
City: Whitesboro State -.NY
Zip Code: 13492 Fax:
Phone No. 315-527-3086
Address: 668 SW Whitmore or
City: Port Saint Lucie FL
State. —
Zip Code: 34984 Fax. 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in feesimpleTitle Holderon next page (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
IT value a? construction ls,5Z5U0 or more, a RECORDED Notice of Commencement is required.
UC3'1UJMtK/ tJMUJ1'YttK: 1401 AppiicaDie MORTGAGE COMPANY: X NotApplicable
Name: Tiltecolne. Name:
Address: 6355 NW 36th St Suite 305 Address:
City: Virginia Gardens — State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY:
—Not Applicable
Name:
Address:
City:
Zip: —
Phone:
Name:
Address:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 inteDoo obtain financing, consult with lender or an attorney b�pfore
commenciniz work oD4V-c-drdLnL7 vourA6tice of CorrimpnirpmPirt
STATE OF FLORIDA STATE OF FLORIDA 5
COUNTY OF COUNTY OF
Thl6grIc ing InstruAient was ackn Wedged before me
11 by
,day of A 2o
Michael
Th� Loygping instrugtent was ackpowledged before me
""day of
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Michael Hsissenberg
(Name of person cknowledging (Name of perso k wledging)
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(Signature of Notary Pu ic- tateofFloridalvu (Signat—u—re��otary Pulli - State of Floridw
Personally - 17 OR Produced Identification Pers ....... . .. J COR Produced Identification
Type of Identification Produced_ Type of Identification Produced
Commission No. ion No.
gL (0 .5 .Ov Pv* Notary Publl. State cifrl(n7� Notary PubliC State of
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Expires 11/13/2022 My Commission GG 2
Revised 07/15/2014 Expires 1111312022
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