HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED "
Date: 11/18/15 Permit Number: 1
RECEIVED
Building Permit Application Nov 2 0 2095
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.
PRC3P0`SED 11M�PRQUEMENT LQCATI()'N
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Address: 9550 S Ocean DR Apt 1005, Jensen Beach, FL 34957-2349
Legal Description: ISLANDIA I CONDOMINIUM UNIT 1005(OR 3716-1614)
Property Tax ID#: 4502-601-0089-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installation of one (1) accordion shutter.
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Additional work to be ertormed under this permit—check a11 appy:
HVAC Gas Tank Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ �{ ,X Utilities: _Sewer O Septic Building Height:
U11NER1LE�SE. fa� ca,N- RAcoR� 77=747
N � 3
Name James N Lewis Name: Michael Heissenberg
Address:9550 S Ocean DR Apt 1005 Company: Expert Shutter Services, Inc.
City: Jensen Beach State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34957 Fax: City: Port St. Lucie State.FL
Phone No.772-229-3591 Zip Code: 34984 Fax: 772-871-0990
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.
�5 '1ENiENTAL CONST�UCTIC�N L� NLAW INFORMAI'IaN �
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: —Not Applicable
Name: Tilteco,inc. Name:
Address:6355 N.W.36th St.Suite 305 Ad d ress:
City: Miami State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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 attor y before
commencing w r recording ur Notice of Commencement.
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_Signature of Owner/Lessee/Agents Signature of Contractor/License Ho der
STATE OF FLORIDA + STATE OF FLORIDA
COUNTY OF ,-f. 1__UtC1 Q COUNTY OF
Theforging instrument was acknowledged before me The for ing instrument was acknowledged before me
this M =day of 1�(`iUe lY1bP�, 20 i5by this lb—day of V gMR("t!20 L5�by
_k W)- N , (�) AIL
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publi -State of F o d (Signature of Notary Pub'c-State(VF F ida)
Y
Personal) Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Plrodu(ced� Type of IdentificationProduced
Commission No. (SHB,ITNER VIZZO Commission No. T D(ZO(0(,0 ( }HER VIZZO
NOTARY PUBLIC NOTARY PUBLIC
qTATP OF IDA e
ComR#FF176266 ?Comm#FF176266
Revised 07/15/2014 ��
xpres INCE9
Expires 11/13/2016
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