HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l/
Date: �' Permit Number: 16 0
RECENED
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Building Permit Application AUG -3 206
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
Address: 9500 S OCEAN DR 1506
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1506
Property Tax ID#: 4502-602-0140-000-4 Lot No.
Site Plan Name: Stan F Kapustka Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
pit
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AILI�Q �SCR1P'T ��UR � 8
37, .. �� �._.,,e ,r o„� .. 3 _ :r�•..
Install 1 Accordion Shutter
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�wl�aTi'���IV�C�i�iVATl4l�,
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1jHVAC Gas Tank []Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6448.00 Utilities: Sewer E]Septic Building Height: 180'
b1 IVE 2 LE54 5 M £ "C0NT�A
Name Stan F Kapustka Name: Michael Heissenberg
Address:9500 S OCEAN DR 1506 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.360-904-7268 Zip Code: 34984 Fax:
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.
5lJPLE�/iEN`CALhCCNTIUC`CION L1 NI.-AW iNFtRMATItI � � � a
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: walterTilli[ Name:
Address:6355 NW 36th sr Address:
City: Virginia Gardens State: FL City: State:
Zip: 33168 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 obpain financing, consult with lender or an attorney before
commencing work or recording our Noticeglif Commencement.
S
_Signature of Owner/ ess Age Signatu of Contra / cense o *er
STATE OF FLORIDA -G �. L 0 C i� C UTNTY OF FLORIDA l
L
COUNTY OF �J u C_I Q
Thef9Qrgoing instrument was acknowledged before me The f going instrument was acknowledged.before me
thisy5}�iayof �� ►lI 20 )�by thiayof lsl 20)1G by
Michael Heisse4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
V
(Signature of Notary Public-Statei a) (Signature of Nota7PIic-State of F
Personally Knowny/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission 1 ( I�TIIER V1710 Commission NO I Ta t�(y%al)HEATHER VI7ZO
�,o4�'A-4, NOTARY PUBLIC Q�� . � ;NOTARY PUBLIC
p « 12; T OF FLORI
t'. t , Cornm##FF176266
Revised 07/15/2014 s. �,;, Comr-,A' 176266 'WCE`9% Expires 11/13/20
4-1'0r'�w Expires
11113!2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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