HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST/BE COMPLETED FOR APPLICATION TO BE ACCEPTED J �r
Date: • �� /� Permit Number
RECEIVE®
•
Building Permit Application SEP ' 4 2015
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 IIUIPROVEMENT;LOCATION
Address: 9650 S OCEAN DR 308
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 308
Property Tax ID#: 4502-610-0028-000-8 Lot No.
Site Plan Name: Marcus W Hartmann Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D.ESCRI`PTICIWOF 1NORK
Install 2 Accordion shutters
CONSTRUCTION]NFORMAT OWz''
Additional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank OGas Piping C Shutters11 Q Windows/Doors
Electric 0 Plumbing []Sprinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 961.00 Utilities: Sewer Septic Building Height: 200'
`OWNER/LESSEE." " CONTRACTOR
Name Marcus W Hartmann Name: Michael Heissenberg
Address:2225 NE 15th Terr Company: Expert Shutter Services
City: Fort Lauderdale State:FL Address: 1626 SW Biltmore St
Zip Code: 33305 Fax: City: Port St Lucie State:FL
Phone No.305-794-9317 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$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTON LIEN LAW INFORMATION
I
^+>A. . _ ,. n'.:,?.a$'• eT"'.r: ..t f Cg toe 41,.1 ,el S wuT.",. OM1,rv.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: L A4AI/ 1 1 ;)r Name:
Address w Address:
City: L City: State:
Zip: 3''S<<py Phone: 305 - a?i -L631 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 inspecti you intend to gbtain financing, consult with lender or an attorney before
.commencing work or re r in ur Notig6of Commencement.
_Signature of Owner/Lessee/Agent Signature of Contracto /Lic e H der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF SILu�Ie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi4UU day of f;lLe-r 20 by this�'�1day of 4- 20 (dam by
Michael Heissenb&g Michael Heissenberg
(Na of per n acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flori (Signature of Notary Public-State of Flor' )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO THEIR VIZZO
Commission No. C" EA&ARYPUBLIC Commission No. �STATE OF FLORIDA c TARY PUBLIC
_STATE OF FLORIDA
Comm#FF176266
Revised 07/15/2014 ti'cEtsExpires 11/13/2018 sWE1o�6 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS