HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8 )� Permit Number:,
s ;, i RECEIVED JUL 0 8 2015
Building Permit Application
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 Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IM'PROVEME'NT LOCATION:
Address: 9550 S OCEAN DR 1405
Legal Description: ISLANDIA I CONDOMINIUM UNIT 1405
Property Tax ID#: 4502-601-0129-000-8 Lot No.
Site Plan Name: Block No.
Project Name: John R Neville
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION°OF"WORK:w
Install 1 Accordion shutter
CONSTRUCTION INFORMATION
Additionalworkotobene orme under this permit—check k a appy:
HVAC L_J Gas Tank Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6048.00 Utilities:Sewer Septic Building Height:
OWNERKESSEE. CONTRACTOR:
Name John R Neville Name: Michael Heissenberg
Address:9550 S OCEAN DR 1405 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 1626 SW Biltmore St
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 County makes no representation that is granting a permit will authorize thepermit 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 attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Si nature of Con ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StLecie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this gam' lay of 20 Irby this cL day of 20 by
c
Michael Heissenbkg Michael Heissenberg
(Name of person cknowledging) (Name of person acknowledging)
s��
(Signature of Notary Public-State o F ri ) (Signature of Notary Public-State&kWicla)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Pro duc CArLJBRT,ae Type of Identification Produced
Commission No.
NO ARY PUBLIC
Commission Noc �9TflRY PUBLIC
-+ST 1S F FLORIDA . E OF FLORIDA
Comma FF176266 Comm#FF176266
P res xpires 11/13/2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS