HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ Permit Number:JL4 q I�-
RECEIVED
Building Permit Application DEC 2 3 2019
Planning and Development Services ST, Lucie County, Permitting
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
P1�OPOSED 1114PROVEMENT LOCATION
Address: 9600 S OCEAN DR 609
Legal Description. EMPRESS CONDOMINIUM UNIT 609
Property Tax ID#: 4502-620-0045-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Borland
Setbacks Front Back: X Right Side: Left Side: X
QETT AILED DESCRIP
TION aF WORK
Install 4 accordion hsutters
CNSTRUCTIQN INFORMATION
S 1P
. .
Additional work-to tie Dertormed under this permit-check all appy:
HVAC Gas Tank []Gas Piping LJ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 9,183.00 Utilities:cnSewer 0Septic Building Height:
OWN ER%LESSEE CONTRACTOR
�...
Name William H Borland Name: Michael Heissenberg
Address:9600 S Ocean DR Apt 609 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port Saint Lucie State.FL
Phone No.301-481-5651 Zip Code: 34984 Fax: 772-871-0990
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.
SI PRLEIVI�NTALCONSTR'U`CTION �IEN11W INl£OFtMATIaN.
_,;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiitecoinc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 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 the permit 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 insp n. If ou int fid to obtain financing, consult with lender or an attor before
commencing wor or redo i g yoqt/hotice of Commencement. %
-�z s
Signature of Owner/Lessee/Contractor as Age for Owner Signature of Contractor/License Holder
STATE OF FLORA . STATE OF FLO A n
COUNTY OF 4�.� KU COUNTY OF _ I I AC K=
The forgoing instrwrient was acknowledged before me The forgoing instrument was acknowledged before me
this A day of 20 1by this_ blay of 20 _tT by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
�
(Signature of Notary Public-State of Florida) (Signature of NotaryPubl/ic-oState of Florida
` )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification roduced Type of Identification Produced
>;ARv
Commission No. �((SSeal) Commission Noa&msr a �o Sharron O'SNOTgRypUhe
Shanon O'Shea
"\k_�
oQ� NOTARY PUBLI o
STATE OF FL pq
Revised 07/15/2014 �'CE 1
w1rP Comm#GG258 38_FLORIDA s/NCE 191 . Expires 9/12/2(22
Expires 9/12/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS