HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/5/16 Permit Number: ��oSJ d3a3
r RECEIV77D MAY 17 2015
a
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
SRR`®P®SEDE IIV(PROVEM'ENT LOCATION " _11"
Address: 9550 S OCEAN DR 1605
Legal Description: ISLANDIA I CONDOMINIUM UNIT 1605
Property Tax ID#: 4502-601-0149-000-4 Lot No.
Site Plan Name: Bonnie Oldring Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILfDDESCRIPTION` OFWORK
Install 1 Accordion Shutter
-C®NSTRUCTI,C�N IN�FO�RaMA�l'10N � � �
. 4;$ -° ' ,zc•r , `� ro -
Add itiona I work to e_ rme under this permit—check a � appy:
❑HVAC f Gas Tank ❑Gas Piping Shutters aWindows/Doors11
Electric ❑ Plumbing Sprinklers E Generator 1:1 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 6415.00 Utilities:Cn Sewer 0 Septic Building Height:
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WaN;BRj/lEE58EE NTRACTOR
Name Bonnie Oldring Name: Michael Heissenberg
Address:2540 TORONTO CRIES Company: Expert Shutter
City: Calgary State:ad, Address: 1626 SW Biltmore St
Zip Code: AB T2N 3V9 Fax: City: Port St Lucie State.FL
Phone No.403-289-4127 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: �
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION' IEfU IAW INFOR:MATI(3N , a. w
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WaiterTiiiitJr. Name:
Address:6355 NW 36th St Ste 305 Address:
City: Virginia Gardens State: F!_ City: State:
Zip: 33166 Phone: 305-871-1530 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 inte d to obtain financing, consult with lender or an attorney before
commencing workgr-Wording you otice of Commencement.
�(ZZZ e -Z",-
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—Signature of Owned/ essee/Agent Signature of Con or/Lice se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF C !� COUNTY OF S�1 l�uC I C
The for oin instru ent s acknowledged before me The forgoing instru ent s acknowledged before me
this,I r� day of N 20 �by this`1�!odayof 20 by
Hel 5S�in (Y) ,,ckatl wl'Moobeiq,
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P lic-State of FI ri (Signature of Notary Pu ic-State of I r' )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
t ,Y�n HEATHER VIZZO r / f, THER VIZZO
Commissionf J )(001 ,o -r,(SCARY PUBLIC Commission No 1' ld�u' otpttY� ,
aim STATE OF FLORIDA oc, NO ARY PUBLIC
o� 5&STATE OF FLORIDA
v, o o:
ys��CE., Expires 11113/2018 y Gom
Revised 07/15/2014 s7HCEAV% Expires 1111312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS