HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE 11#0 MUS BE COM
PLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Applicati OCT 2 4 2016
Planning and Development Services
Building and Code Regulation Division p
2300 Virginia Avenue, Fort Pierce FL 34982 ®i; y
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X es
PERMIT APPLICATION FOR: Shutter
PRUPOSED iN1PROVEIVIENT LOCATfN
Address: 9650 S OCEAN DR 1202
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1202
Property Tax ID#: 4502-610-0112-000-4 Lot No.
Site Plan Name: Frank Vasilopoulos Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
� ..:• � *r 0'T sv d z x t�
DETAILED DE MON 4F WORK `
,y£
Install 2 Accordion Shutters
CONSTRUCTIC}N iNFOR11l1ATi0N M
itional or to e e Gas Ta W
un ert is permit-c ec all apply:
FHVAnk E]Gas Piping MY/ Shutters Q Windows/Doors
Electric ❑Plumbing []Sprinklers E Generator 1:1 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 948.00 Utilities: _Sewer[]Septic Building Height: 180
7
Name Frank Vasilopoulos Name: Michael Heissenberg
Address:9650 S OCEAN DR 1202 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.732-602-6556 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.
5; '�'I.EMENT�I° CCNSTFUCTIOI�INlA11 'F0 III, "
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WalterTillit Name:
Address: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 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 befo e
commencing work okrer9rding your Ngfice of Commencement.
S
_Signature of Owner/Lessee/Agent Signature of Contractor/LicenseSTATE OF Holder
COUNTY OF FLORIDA 5 L IA C/ COUNTSTATE OY OFORIDA
The forgoing instru ent as acknowledge before me The forg Ii_ng instru ent as a knowledged before me
thh1day of / 20` by this �Yiay of � d Q 20 , by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
V V ,
(Signature of Notary Pu lic-State of Flor(00/ (Signature of Notary7011
c-State of Flori )
Personally Known70R OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission NoT t 1 1(O 0_(0 POTARY PUBLIC Commission No.l rT 1 /b a�b o�� �3° OTARY PUBLIC
o STATE OF FLORID o � a ATE OF FLORIDA
Comm#FF1769R ?Comm#FF176266
Revised 07/15/2014 Expires 11/13/2018 ci Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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