HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -tl �-1 \5 Permit Number: 54q
RECEIV-7D AUG 112015
i
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
PRO POSE D,IMI,PROVEMENT LOCATION:
Address: 10680 S OCEAN DR 810
Legal Description.. ISLAND CREST CONCOMINIUM UNIT 810
Property Tax ID#: 4511-516-0087-000-8 Lot No.
Site Plan Name: Enrique A Cuadra Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D'ESCRI'PTION OF WORK. " 41,
Install 2 Accordion shutters
CONSTRUCTION INFORMATION: Y
Additionalworkto e e orme un er t is permit—c ec a apply:
HVAC Ei Gas Tank 0Gas Piping �OGenerator
Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2360.00 Utilities:Sewer Septic Building Height: 130'
°CONTRACT
OR:
Name Enrique A Cuadra Name: Michael Heissenberg
Address:11621 SW 104th St Company: Expert Shutter Services
City: Miami State:FL Address: 1626 SW Biltmore St
Zip Code: 33176 Fax: City: Port St Lucie State:FL
Phone No.772-229-6140 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@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 i nd to obtain financing, consult with lender or an attorney before
commencing work oI recording r Notice of Commencement.
Ll S
_Sign ure of Owner/ essee/Agent Signature of Contractor/License Holcf4r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
Thelf ing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this —by of .v, 20 LC thislAday of Ave,, 20 1 L'Z' by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
CV
(Signature of Notary Public-State of Florida (Signature o Notary Public-State of Florid64 LJ
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced ,E.THER MZZO
�i QaR
Commission No. v (S ",,� HER VIaO Commission No. N TARYPUBLIC
NO ARY PUBLIC AT OF FLORIDA
STATE OF FLORIDA ?Comm#FF176266
FF176266 EVIres 1111 312OW
Revised 07/15/2014 VNCE NA Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS