HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/8/15 Permit Number: � ) 0 /n
RECEIVED
Building Permit Application DEC /9-2015
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
PR{ F'OS D 1�1 1PR01t M Nfi —1xq
Address: 9500 S OCEAN DR 307,JENSEN BCH, FL 39457
Legal Description: ISLANDIA II CONDOMINIUM UNIT 307(OR 3194-1238)
Property Tax ID#: 4502-602-0021-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D` A1L ��QR�IP�ION : fi UI/CtRK:°
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Installation of one (1) accordion shutter.
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Additional work toe nerformed under this permit—check al appy:
HVAC 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: $ 2925.00 UtiIities:�Sewer ElSeptic Building Height: 70'
C11lNER/LSS�E. Ct?NTRACTOR
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Name Daniel LaBella Nicholas A LaBella Name: Michael Heissenberg
Address:739 Pleasant St Company: Expert Shutter Services, Inc.
City: Utica State:NY Address: 1626 SW Biltmore St.
Zip Code: 13501 Fax: City: Port St Lucie State:NY
Phone No.315-796-8393 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tilteoo,���. Name:
Address: Address:
City: Miami State: FL City: State:
Zip: 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 attorney before
commencingwor rec in our, otice of Commencement.
Signature of Owner/ gent/Lessee Signature of Contra or/License Holde
STATE OF FLORIDA L u 4 STATE OF FLORIDA IIA,, n
COUNTY OF COUNTY OF L L / '
The or ging instr gnt was acknowledged before me The for ging instrument was acknowledged before me
this I'day of I �}1 20 l�by this day of Q M 20 by
(Name of person acknowledging) (Name of person acknowledging)
odb��_
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(Signature of Notary Publ' -State of ri (Signature of Notary Publi State of DWI
)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
/ l �1 / _ of r4 HEATHER VIZ �i -�! ')1_ i4',ZPN HER VIZZO
Commission No. t �P�F �` NOTARY PUBLIe:Commission No. lOdl�° c( I RY PUBLIC
c STATE OF FLO ii:: c c STATE OF FLORIDA
fty"111#F.F.if 6266
Revised 07/15/2014 s/'l'CEIST' Expires11/13/.2F .�'I'cEti9�m Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS