HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1Q
Date: ��� —1' 1l� �� Permit Number: �� �� 0 19D
O
RECEIVED
Building Permit Application
DEC 0 9 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED,IMP,ROVEMENTsLO-CATION
Address: 9500 S Ocean DR Apt 1510
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1510
Property Tax ID#.. 4502-602-0144-000-2 Lot No.
Site Plan Name: Gary Kanzer Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Install 1 Accordion Shutter
t,
CONSTRUCTI, NINFORM
ATION
itiona wor to e e orme un der t is permit—c ec a appy:
HVAC Gas Tank Gas Piping 1ZShuttersa Windows/Doors
Electric ❑ Plumbing Sprinklers 11 Generator E] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 7256.00 Utilities:Sewer[]Septic Building Height: 180'
OWNER/LESSEE ;CONTRACTOR
Name Gary Kanzer Name: Michael Heissenberg
Address:9500 S Ocean DR Apt 1510 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-486-5603 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.
Sl1PPLEMENT�L CONSTFtUCTIN LIEN LAIN INQRMATIDN
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Walter Tillit 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 before
commencing work rec rdin our No a of Commencement.
s
_Signature of Owner/Lessee/Agent VV Signature of Contra or/License Holder
STATE OF FLORIDA U C.
I STATE OF FLORIDA � ) . 1 C-
u �-
COUNTY OF �- .� C, Q COUNTY OF
The o��oing instry�UP-0
was acknowledgeefore me The forgoing instrument was aSknoWI dged before me
this— day of UP-0 M bt 20 ICUby this day of 0 by
Michael Heissen4g Michael Heissenberg
(Name of person ack owledging) / (Name of person acknowledging)
(Signature of Notary Pu Ic-State of Florida (Signature of Notary Pu Ic-State of Flo Id
Personally Known OR Produced Identification Personally Known " OR Produced Identification
Type of Identification Produced Type of Identification Produced
�� � HEATHER VIZZO ���7�a� �pt� s HEATHER VIZI
Commission No. 1 �� otlp ) Commission No. !Oaa n NOTARYPUBLI
NOTARY PUBLIC o
Qom�'� ig
, +STATE OF FLO A
�f✓'; -STATE OF FLORIDA
'� �Comm#FF17626
;:N°r ��� Expires 11/13/2018 � Expires 11/13/2 18
Revised 07/15/2014 ✓cgiP
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS