HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:/ 909-05-/�
BY RECEIVED
St. Lucie COUntv AUG 2 6 2019
Permitting Deportment
DUilding Permit Application c
St. Lucie Cniintv
Planning and Development Services
Building and Code Regulation Division
2300 VirginiaAvenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATIQN:
Address: 10600 S. Ocean Dr. #510
Legal Description: OCFANA SOUTH CONDOMINIUM 11 UNIT 510 AND UNDIV SHARE IN COMMON ELEMENTS (OR 398-481: 3727-2826)
Property Tax ID #: 4511-517-0057-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Bahadur
Setbacks Front Back:_ Right Side: X Left Side:
DETAILED DESCRIPTION OF �AiORK:
install 1 accordion shutter
M UU
ILIV110 I WV1 A LU LTLPMI I U1 I I ICU U I IUCI L' I 1� PC[ I I J I L—L' I ULM 01i OIJPIY.
HVAC Gas Tank E]Gas Piping Shutters []Windows/Doors
Electric Plumbing E]Sprinklers FIGenerator E]Roof Roof pitch
Total Sq. Ft of Construction: — S Ft of First Floor:
Cost of Construction: $ 1,023.00 Utilities'. Sewer D Septic Building Height:
PWNER/LESSEE:-- J1,
CONTRACTOR:
Name Bahadur, Donna R. & Miles S.
Name: Michael Heissenberg
Address: 2135 Hartwell Ln.
Company: Expert Shutter Services
City: Fort Mill State:SC:
Zip Code: 29707 Fax:
Phone No. 847-800-4545
Address: 668SW 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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
6N'bE' AW A F
RIVIAT-
r
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
X NotApplicable
Name: Tilteminc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FIL
City:
State:
Zip: 33166 Phone:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER:
X Not Applicable
BONDING COMPANY:
Not Applicable
Name:
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 Court makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conlylict with any applicable Home Owners Association rules, bylaws or ang 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 integ)d to obtain financing, consult with lender or an attorn efore
commencinR work or-r�ecor ine vour Notice of Commencement. —Z—) 117 �Vb
Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L\A( OQ ICOUNTY OF
The �ioinginstr ent was acknowledged before me
ii� Aay �A Q \A. Y+ , 20 aby
Michael Heissenbiirg
(Name of person acknowledging I
P� 6004p� olllll�—
(Signafture-6-f-Notar 7Pu lic- State of Florida )U 61
Personallyll.- . OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
The for ' instirgent was acknowledged before me
gg
th Y1
2Z-Iay LACt VXS+ . 20 a by
J
Michael Hsissenberg
(Name of person acknowledging I
C��ALLA� Qj�
44
(Signatir—eof Notary Publi State of Florida I Ll 61
Personally Kno%... 7OR Produced Identification
Type of Identification Produced
- - I - - T �pmmission No.
State of F ocida
Expires 1111312022
Expires 1111312022
of Florida
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