HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'1 Permit Number: (SM—o
RECE1Vr_:D AUG 18 2916
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
PROPOSED INIPROVEM'ENT LOCATION
Address: 9650 S Ocean Dr 2006
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 2006
Property Tax ID#: 4502-610-0186-000-3 Lot No.
Site Plan Name: Douglas J Myers Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPT[ON 0 "M RK
t�
Install 1 Accordion Shutter
CON
STRUCTfON INFORMATION
�..�.
Additionalworkto e e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors
11 Electric 1:1 Plumbing Sprinklers I Generator 1:1 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6392.00 Utilities:In Sewer E Septic Building Height: 180'
01NNER/LESSEE' p CONTRACTQR
Name Douglas J Myers Name: Michael Heissenberg
Address:9650 S Ocean Dr#2006 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State: FL
Phone No.773-491-8696 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;;:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: —Not Applicable
Name: walterTillit Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33168 Phone: 305-671-1530 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 in nd to obtain financing, consult with lend or an attorney before
commencingwork o re din r Notice of Commencement.
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_Signature of Owner/Lessee/Ag t Signature of Contract /License Holder
STATE OF FLORIDA I / STATE OF FLORIDA
COUNTY OF LSC COUNTY OF T VL
Th g forgo}ng instru ent was acknowledged before me The fo g�ing instru nt was acknowledgedmy
ore me
thin-tt-day of 4,u -LA 34 201 Gby this�:Aay of �� ' U 20 �
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotarV
lic-State Ida) (Signature of Notary P lic-State rida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
1 gp.P.Y HEATHER V=7?0 10�� THER VIZZO
Commission No.�� 1 ��� �' aOTp}�Y PUDLIC Commission No. �d ss
�' e��. N01 ARY PUBLIC
oSTRTE OF Ft OI,§DA � ESTATE OF FLORIDA
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" Comm#FF176266
Revised 07/15/2014 'r��'Cel9�% Expires 11/13/2018 44 " Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS