HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 7 1
RECEEIVED
Building Permit Application NOV 0 "- 2017
Planning and Development Services Building and Code Regulation Division St LuciPERiI4I ING
2300 Virginia Avenue, Fort Pierce FL 34982 e County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PaR£}POS�I IMP {)1tEMEIT LCCATCON �� f Y
Address: 9600 S OCEAN DR 1502
Legal Description: EMPRESS CONDOMINIUM UNIT 1502
Property Tax ID #: 4502-620-0110-000-1 Lot No.
Site Plan Name: Block No.
Project Name: KAPLAN
Setbacks Front Back: X Right Side: Left Side:
'2f�ETA1E0`DESCRIPTONQFtt1/ORI
Install 1 Accordion Shutter
CtISTRUCTJd( INOtMAT[a1N. 3,
Additional work to e e orme under this permit —check a apply:
11HVAC E] Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric ElPlumbing Sprinklers 11 Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2694.00 Utilities:1n Sewer Septic Building Height:
W ER ESSE '� b a K� a �'4�
,?
QNT ACTOR
'an�"'S�•-'a
Name Louise Jaokab Name: Michael Heissenberg
Address: 9600 S Ocean Dr Apt 1502 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. 561-315-9626 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.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tilteco Inc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
X Not Applicable
State:
Not Applicable
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 inspe If you intend o obtain financing, consult with Ipader or an attorbefore
commencing wor or reWr_janMur N tice of Commencement.
Signature
Owner I Signature of
STATE OF FL IDA I STATE OF FLORIDA
COUNTY OF COUNTY OF S� LCJ
The forgoing instrument was acknowledged before me
this_ day of T21nj2E_ 20 FLby
Michael Heissenbi�g
(Name of person acknowledging)
((Signature of Notary Public-- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
The forgoing instrument was acknowledged before me
thi day ofs 20 n by
Michael Hsissenberg
(Name of person acknowledging)
EJIW.W�N
(Signature of Not ry Public- State of Florida )
Personally Known . OR Produced Identification
Type of Identification Produced
Commission No, 34�9
(Seal)
Revised 07/ 15/20140%_o NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
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