HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 3 Permit Number:
RECEIV AR 0 3 2017
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 1lVlPROVEMENT LO,.CATION
Address: 9600 S Ocean DR Apt 1401
Legal Description: EMPRESS CONDOMINIUM UNIT 1401
Property Tax ID#: 4502-620-0100-000-8 Lot No.
Site Plan Name: Margaret Guzman Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE, CRIPTION;OF WORK, A
Install 1 Accordion Shutter
CONSTRUCTION INFORMATION
Additional work to be ertormed under this permit—check all that
apply:
E1HVAC Gas Tank ❑Gas Piping Z Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers M Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5369.00 Utilities:n Sewer E]Septic Building Height: 130'
OWNER 1ESSEE '. 'CQNl RACTOR:.
Name Margaret Guzman Name: Michael Heissenberg
Address:9600 S Ocean DR Apt 1401 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-229-9948 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.
J
SUPPLENIENTAUCONSTRUCTIQN,LIEN LAVU.INE RMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: XX 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 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 inspec ' If you intend to obtain financing, consult with lend7er-a,an attorney before
commencing work,-r recor our Noti of Commencement.
..s
_Signature of Owner/Lessee/Agent Signature of Contrac r/ Icense older
STATE OF FLORIDA :5 ) / Z, STATE COUNTY OF FLORIDA � ) L C r
COUNTY OF -t' L 1. �"
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 3j day of W)a(C_in 20 11-)by this�day of arc 20 17 by
Michael lieissenbtlrg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P blic-State of Florida a (Signature of Notary P lic-State of Flori
w
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
pR1
`4c's HEATHER IZZO
e�lp ARf PUBLIC I r w r ,tS
C'Bj) A ZZO
Commission N Commission No.
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PUBLIC
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS