HomeMy WebLinkAboutSTORM SHUTTERS COMMERCIAL ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( �� Permit Number:
Building Permit Application Jum n%
Planning and Development Services p_ ; .Til
Building and Code Regulation Division Si. Lucio County, i=L
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED:It111PROVE,MENT LOCATIC)N
Address: 10680 S OCEAN DR 510
Legal Description: ISLAND CREST CONDOMINIUM UNIT 510 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax lD#: 4511-516-0057-000-9 Lot No.
Site Plan Name: Tadeusz M Folwarczny Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DEwSCRIPI'IONfQFMO. K
Install 5 Accordion Shutters
CONSTRUCTI`gN INFORIViATION
,
Additionalwork to be nertormed under this permit—cneck all appy:
HVAC Gas Tank E]Gas Piping Shutters Q Windows/Doors
1-1 Electric 0 Plumbing F]Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
t
Cost of Construction:$ 7395.00 Utilities: _Sewer[]Septic Building Height: 1
OWNER/LESSEE "' j CONTRACTOR
Name Tadeusz M Folwarczny Name: Michael Heisenberg
Address: 199 Bridge St E Company: Expert Shutters
City: Belleville State:ON Address: 668 SW Whitmore Dr
Zip Code: K8N 1N5 Fax: City: Port St Lucie State:FL
Phone No.6137962-8113 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.
SI�PPI_E'MENYAL CONSTRICTION LIEN LAlN 1NC}RMATIC�N.
�.�
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Tilteco•Inc. Name:
Address: 6355 NW 36th St#305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 thepermit 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
commencing work or rVzKding your Not' a of Commencement.
_Signature of Owner/Lessee gent Signature of Crintract6ir/Lie6irlse Holderf
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � L "z COUNTY OF !} bt 1 1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowled ed before me
thi } ay of_�1�1,� 20 Lkby thig2L"day of l�l�. 26 _by
Michael Heissen4g Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-Sta a lorida) (Signature of Notary Public-State of"a
a)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identifications Produced
Commission No T' it /6oM� try $eat EATHER VIZZO Commission No.-Pfn �% �pgy�s(S@ THER VIZZO
�o sp NOTARY PUBLIC off° sO�NOTARY PUBLIC
o TE OF FLORID ,(ZTATF:DE El ORIDA
1p
Comm#FF176266 y Comm#FF176266
Revised 07/15/2014 "ICEI�q' Expires 11/13/2018 %6CE191� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS