HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /_
Date: l• Permit Number:_Z& 0
127- r �
Building Per it Application SEP@ 201®
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Comriercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED 11111PR01lEME[ T
AT -J ' h X
Address: 9650 S OCEAN DR 704
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 704
Property Tax ID#: 4502-610-0064-000-2 Lot No.
Site Plan Name: James T Sandlin Block No.
Project Name:
Setbacks Front Back: Right Side Left Side:
DTA(LEDDE� GRIPTION OF W�RK� N ft '`}
Install 1 Accordion Shutter
WP
CtNSTRUC (C?f�k I N FORMATION
'
Additional work to be ertormed under this permit—check all that appy:
HVAC Gas Tank []Gas Piping WShutters Q Windows/Doors
Electric 0 Plumbing Sprinklers I Generator 1:1 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 3304.00 Utilities: Sewer O Septic Building Height: 180'
C1WN�R/LESSEEd h CONTRACI'QR z
,,.. ..x :. .. ,.,. . . -_�. ..., _., A,.
Name James T Sandlin Name: Michael Heissenberg
Address:9650 S OCEAN DR 704 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code; 34957 Fax: City: Port St Lucie State:FL
Phone Nod.772-979-3570 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in feesimple 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 c f Commencement is required.
SU _PLEjIVIENTA�L CONSTRUCTION LIEN LAW INa3RMATION "
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: walterruit Name:
Add ress:6355 NW 36th St 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
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 perm t will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Associatior rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association an 3 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 uncle rgoing 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 fina ricing, consult with le an attorney before
commencing work or rec"ng your Ndtice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holde'�J
STATE OF FLORIDA STATE OF FLORIDA —3 �
COUNTY'OF ��. COUNTY OF '/—
T� f rgoing instrument was acknowledged/before me The forgoing instrument was acknowledg d!!before me
t ��"Lday of Q LjQ( 20 1(by thi5x��ay of_ J _QM WK 20 l l —by
Michael Heissentrg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota7Pub -State of FI a (Signature of Notary Pu ic-State of aPersonally KnownOR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VI710 -7I I, HEATHER VIZZ
Commission l0o�) o4 YA�s Commission N J L l aY PUBLIC NOTARY PUBLITOF FLORIDA STATE OF FLOR A
.
om 76268
Revised 07/15/2014 01YdE1g�`°` Expires 11/13/2018 'r�r✓+:ft9►� Expires 11/13/2 8
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS