HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —1 AVG Permit Number:
'W -Ali- ""I RECEIVED JUL 0 6 2017
M_ Building Permit Application SCANNED
Planning and Development Services BY
Building and Code Regulation Division St. Lucie Countv
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
77 77
N
Address: 9600 S OCEAN DR 309
Legal Description: EMPRESS CONDOMINIUM UNIT 309 (OR1 112-2515)
Property Tax to#: 4502-620-0018-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Schneider
Setbacks Front— Back: Right Side: Left Side:
Install 3 Accordian Shutters
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Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ 6,747.00 utilitiesCnSewerE]Septic Building Height:
Name Ld M Schneider
Name: Michael Heissenberg
Address: 9600 S Ocean Or Apt 309
Company: Expert Shutter Services
City: Jensen Beach State: F�
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34957 Fax:
Phone No..772-341-3344
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: Cailexpert@aol.com
State or Cou I nty License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: X
Not Applicable
Name: rltewInc.
Name:
Address: 6355 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:
Applicable
Name:
Name:
_Not
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 inspeqtionif you intepoo obtain financing, consult with I or ttorne efore
commencine work.ofrecor a vour otce of Commencement. l
as
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF 54— I A 1 P a COUNTY OF l k -CA f
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L day of 20 0-by this � day of , h � 20 �� by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
( Ignature rofotary Pub'c-State of Florida) (Sign ture of Nota Pu lic- ate of FloridaPersonally wn OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
Halaigh Russell
Commission No TARY PUBLIC Commission No.L I al)Haiaigh Russell
ESTATE OF FLORIOA NOTARY PUBLIC
Expires 525/2021 COM" GG108399
Revised,07115/2014 Expires 525/2021
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