HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ QA 5 Permit Number: 5 "6
MIDI4 � �'� ` ms`µ" " `$ RECEIVED OCT 12 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
PRC)P(JSED II11[PRQUENI1T LQCATIf3N
Address: 9650 S Ocean Dr Apt 1202
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 601
Property Tax ID#: 4502-610-0051-000-8 Lot No.
Site Plan Name: Wallace R Reed Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
BAILED D�S�RIPTION C}F WORK
Install 2 accordion shutters
CQNSTRUCTiQN INfORMATION „F
Additional worK toe e Orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2790.00 Utilities:cnSewer Septic Building Height: 200'
QU1l ,, R/LESSEE CC+NTRACTOR
Name Wallace R Reed Name: Michael Heissenberg
Address:9650 S Ocean Dr Apt 1202 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.908-310-8614 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.
DESIGNER/ENGINEER- !6RTG
GINEER: Applicable MORTGAGE COMPANY: X Not Applicable
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Name: L&AtkA-1 --I—, 1 ;.�r
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r ;:_r"Nm e:
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S—�'Aa -4�0< Address
City: Ck 6.3pryloew.', State. City: State:
Zip: twy Phone: 191,-7 1.. L' 31 Zip: Phone:
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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 Countymakes no representation that is granting a permit will authorize the permit holder to build the subject structure
ict with which is in con h 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.
n-c-ansideration-of-the-Aranting-of this requested-permitFl d"ereby.agree-thati-wiii;4n-all-respects;-perform-the-work-
-in accordance with thd approved plans,the Florida Building Codes and St.Lucie County untV 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 toy. ou r property.A Notice of Commencement must be recorded and posted on the jobsite
before the-first inspectiArrff you intend to qbIain financing,*consult with*lender or-an attorney before
•commencing work-or reporging-our Notiro6of Commencement.
S
_.Sigppt_u..r._e,,qf,Owner/kqs,5ee
JAggnt. Signature
_/LiceKe Hqffoer...
STATE OFFILORIDA STATE OF FLORIDA
COUNTY OF st Ludd COUNTY OF_sauce
The fnrproing instrument was acknowledged before me The forizoing instrument was acknowledged before me
this.—O�;dayof— OC-rob , -20IXbythis J21k-,day of. 0C-r0(:Sa'e 20 VS by
Michael Heissenb6q Michael Heissenberg
(Na of pe n acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florl& g
,/— — (Si nature of Notary Public-State of Flow) .11
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO THEIR V2W
Commission No. .424WSA241_. Commission No.
PUBLIC OTARY PUBLIC
STATE OF FLORIDA ESTATE OF FLORIDA
1"Idt PP1176M CoffUTW FF176265
Revised 07/15/2014 W% Expires 11/1312018 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE .
I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
I DATE
COMPLETE
INITIALS