HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 101,
Date:
Permit Number: .21b U - v ✓
Building, Permit Application WaVES
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential St, Lucle County
PERMIT APPLICATION FOR: Shutter
Address: 9600 S OCEAN DR 1202
Legal Description: EMPRESS CONDOMINIUM UNIT 1202
Property Tax ID #: 4502-620-0092-000-8
Site Plan Name:
Project Name: Waldrop
Setbacks Front X Back: X
Install 3 accordion shutters
❑HVAC
0 Electric
Lot No.
Block No.
Right Side: Left Side:
L
IV IIShutters
0 Plumbing Sprinklers 0 Generator Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,564.00
Name Teresa J Waldrop
Address: 2325 Crawford St.
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
City: Houston State: TX
Zip Code: 77004 Fax:
Phone No. 713-443-3270
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
0 Windows/Doors
Roof
Name: Michael Heissenberg
Building Height:
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be 'recorded in the public records of St.
Lucie County 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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as ent for Owner
Signature of Contractor/License Hol
STATE OF FLORIDA ( I
STATE OF FLORID fC
t V
COUNTY OF l�
COUNTY OF
S o n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
ysical Presence r Online Notarization
this day of L 202� by
ysical Presen o Online Notarization
this day of 202& by
ee1� `C (ayt r
ft li%-/
Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Florida
Notary blic- State
(Signature of Notary Public- State of Florida
aylor O'Brien
(Signature of of
) Taylor O'BrIon
�R
o OTARYPUBLIC
q NOTARY PUOLI@ LI@
Commission No. -• ATEOFFLORIDCommission
No.M9G
STATE OF FWftd
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/20