HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�� ���02/ Permit Number:_o`er d v� ID
Building Permit Application RECEIVED
Planning and Development Services OCT 1 1.021
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 rer itting Department
Phone: (772)46271553 Fax: (772)462-1578 Commercial X Residentla''t.Lucie County
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PERMIT APPLICATION FOR: Shutter
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PR"OPOSED.'t1I 1?ROVEMEN�T Lt CATIC.?N �
Address: 9600 S OCEAN DR 601
Legal Description: EMPRESS;CONDOMINIUM UNIT 601
Property Tax ID#: 4502-620-6037-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Lepkowski
Setbacks Front X Back: Right Side: Left Side:::
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LED
DETAI DES R R1P�� �C7RK• k �� �
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Install 1 roll shutter
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Additional work to e e orme under this permit—check a apply: A
❑HVAC El Gas Tank Gas Piping �_Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Genera11tor ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
,Cost of Construction:$ Utilities: _Sewer❑
1,967,00 Septic Building Height:
`? ..&`'.•":FI i'. ,?a,,, ,'„, .ski., �� .z 9° --,y Y r � �h i ay+J'' •' '�$.?eF
Name Mark Lepkowski Name: Michael Heissenberg
'Address:13 Rose LN Company: Expert Shutter Services
City: East Lyme State:CT Address: 668 SW Whitmore Dr
Zip Code: 06333 Fax: City: Port Saint,Lucie State:FL
Phone No.860-460-6674 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.
SUflPLE EN AL�®NSTR �I N L� !� ffiffimi"'b nqw� ��.�.�.-.v ... :`r' ... ..,i '
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecclnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
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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, i
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 c an,.a orne befo
commencing w9A-ijr-,recording yo,r Notice of Commencement.
s
Si u e of Own /Less a/Contrac or as A nt for Owner Signature of Contractor ' ense H er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instr en was acknowledged before me The forgoing instr m t was acknowledged before me
this day of 20by this day of 20 by
Michael Heissenb&g Michael Heissenberg.,
(Name of person acknowledging) (Name of person acknowledging)
ZMMAk,_ nk o
(Signature of Notary Public-State of Florida) (Signs ure of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x ..OR Produced Identification
Type of Identification Produced, Shanon O'Shea Type of Identification Produced
*STATE
NOTARY PUBLIC Shanon O'Shea�j 2 ZARYCommission No. 0 OF FLORI ACommission No WJ D�OTARY PUBLIC
Comm#GG25803 ESTATE OF FLORID#GG258038
's4NCE 19il% Expires 9/12/2022
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS ,