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HomeMy WebLinkAboutBuilding Permit Application h ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:n( ' ©y( • NO I pd� 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 PRPC?SED 1111tPR01lE(UI1T LOCATIC}N ddress: 9600 S OCEAN DR 305 Legal Description: EMPRESS CONDOMINIUM UNIT 305 Property Tax ID#. 4502-620-0014-000-8 Lot No. Site Plan Name: Block No. Project Name: Harvey Setbacks Front X Back: X Right Side: Left Side: D Tt'ILED'DES�CRIPTIOJ,'�QF .r...,, .._. _. ., vn .,. .. . �Installl 3 accordion shutters CONSTRUCTiQN INFORMATION 4 n ' Additional work t Te nerformea unclertnis permit—check all apply: jElHVAC Gas Tank Gas Piping Shutters ❑Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 4,673.00 Utilities:0Sewer Septic Building Height: 77, 0:1NNER/LESSEE }6CO,NTRACT R j Name Ruth A Harvey Name: Michael Heissenberg Address:9600 S Ocean Dr#305 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.772_229-7718 Zip Code: 34984 Fax: 772-871-0990 I!' 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. f i d DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Tiltecolno. Name: Address;6365 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: II 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 n 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 or recording our Notice of Commencement. s Signature of Owner/Lessee/Contractor as t for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St LUC10 COUNTY OF St.LuC1e The forgoing instrLi t was acknowledged before me The for oing instrument was acknowledged before me this day of �� 20-aby this 2 day of �i 20 by Michael Heissenb&g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced 5,,Sq or O'Brien l u q"L pRYgs rT��I O'Brien Commission No.` Y4sso(S� TARY PUBLIC Commission No. q@y sow F7O5�RY PUBLIC 4' 1 9 STATE OF FLORIDA 99 �'��i�� " STATE OF FLORIDA �-�'� :�.� -� Comm Revised 07/15/2014 s�%Yce Ali Expires 2117/2024 r�NCE i9�e Expires 2/17/2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 1 N ITIALS I