HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t2 • SCANNED Permit Number: I
BY
St. Lucie County
Building Permit Application
Planning and Development Services JUL 9 6 2K,
Building and Cade Regulation Division PERi:�I�-rli•ICi
2300 Virginia Avenue, Fort Pierce FL 34982 St Lucie C71,MIGounhr, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter I
Address: 9600 S OCEAN DR 407
Legal Description: EMPRESS CONDOMINIUM UNIT 407 (OR 1746-1408: 3045-1478)
Property Tax ID #: 4502-620-0025-000-8
Site Plan Name:
Project Name: VINYON
Setbacks Front Back: X
INSTALL 1 ACCORDIAN SHUTTER
0HVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,694.00
Lot No.
Block No.
Right Side: Left Side:
�enun—uieLn an
appry:
Gas Piping
Shutters
Windows/Doors
Sprinklers
Generator
Roof
S Ft. of First Floor: _
Utilities: Sewer []Septic
Building Height:
Roof pitch
'OWNEitjLESSE
`'r
CONTRACTORS :t
Name MICHAEL VINYON
Name: Michael Heissenberg _
Address:9600 S OCEAN DR #605
Company: Expert Shutter Services
City: JENSEN BEACH
Zip Code: 34957 Fax:
Phone No. 772-229-1381
State: FL
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:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
11 value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPI? MEfVTAItrCOftlSTRUCt10N L(ENIAVII INFORMATIOiV'��fft
UP
DESIGNER/ENGINEER:
Name: rltecolnc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
. Not Applicabley
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip:33166 Phone:
State: FIL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Floride 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))'gqbsite.
before the first inspection. If you interdto obtain financing, consult with lend�oran atarr�ey be,Ypre
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF c7{' l AJ( -1'e I COUNTY OF f:�A—l_L t_C_tC
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of ,1\ a 1\I 20 nby this _ day of � %k 111 20 n by
Michael HeissenbiiM Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging -)
((signature of Notgry Pubpc- State of Florida) ((Signature of bta PubliF- State of Florida )
Personally Known \// OR Produced Identification Personally Kn . OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.C-1 lJJ`7
Revised 07/15/2014
NOTARY @hlRmission No. CK" I I(�JS_7-'IG _ Haleigh Russell
STATE OF LORIDA NOTARY PUELI
Expires 6/25/2021
Expires
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
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DATE
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INITIALS