HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 11SN - F)aon
ECEI `V E®
Building Permit Application AUG 131 2015
Planning and Development Services PERMITTIN(a
. e
Building and Code Regulation Division St. Lucie County,-FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
`PROROSED'IMPROVEMENT LOCATION,: `` W "
Address: 9650 S Ocean Dr 705
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 705
Property Tax ID#: 4502-610-0065-000-9 Lot No.
Site Plan Name: Andrew Scelba Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONxO.F``WORK
a
Install 2 Accordion shutters
CONSiTOATON, aO�:c'
Additionalworkto e performed under N k '
t Ispermit–check a appy:
OHVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6505.00 Utilities: —Sewer Septic Building Height: 200'
OINK ER/LESSEE. CONTRACTOR:
Name Andrew Scelba Name: Michael Heissenberg
Address:9650 S Ocean Dr 705 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.772-229-2278 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 the permit 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.
7 /
s
Signature o Owner/Lesse /Agent `Signature Co tractor/License Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The f rgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this l�day of 20 114 by this II IAI,day of �– 20 by
Michael Heissenb�rg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flory (Signature of Notary Public-StateIt
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HIATER VIZZO N(� Y PUBLIC
Commission No. Z� N YPUBUC Commission No. &"C—m#FF176266
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P, ler STATE OF FLORIDA S ATE OF FLORIDA
rro R-1762813
Com
Revised 07/15/2014 W.-
� Expires 11/1312018 Expires 11/131201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS