HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr `.
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ' g U 1 347
SCANNED
BY
Is . _ St. Lucie County R E C
Building Permit Application �IV
Planning and Development Services AUG 13 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED•IMPROVEMENT LOCATION f«
Address: 9600 S OCEAN DR 1006
Legal Description: EMPRESS CONDOMINIUM UNIT 1006
Property Tax ID #: 4502-620-0078-000-4
Site Plan Name:
Project Name: Banta
Setbacks Front Back: x
Install 3 Accordian Shutters
Right Side: Left Side:
Lot No.
Block No.
CQNSf"A, i TION INFORR ATIC7N: ` "'' r` v
LAHVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3450.00
na—cnecxan appiy:
Piping Shutters
ors 0 Generator
S Ft. of First Floor: _
Utilities: Sewer Septic
❑ Windows/Doors
Roof 0 Roof pitch
Building Height:
O�IVNERfLESSEE:' z;_ rx
CONaTRACTORt
Name Mark Banta
Name: Michael Heissenberg
Address: 9600 S Ocean or #1006
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-284-0176
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
iT vame or construction is >z)uu or more, a RECORDED Notice of commencement is required.
SUPPLEfVIEN fAl'CONSTRUCTION-LIEN LAW INFORIVaATION
.....
f .
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiiteminc.
MORTGAGE COMPANY: =
Name:
Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work-eKecardinQ vod Notice of Commencement. —) O
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S:E L ,UC1 (---7 COUNTY OF Q-A- l C A
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisiadayof j l�7l% 20r7 by this ]Zday of iq1aC1US� 20 nby
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
1/
(Signature of N tary Public- State of Florida) (ignature of o ub
ary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. I(Se�e{gh Russell Commission NOGG In�q 9 I Halelgh Russell
_NOTARYPUBLIC WMARYPUBLI
Revised 07/15/2014 CamrOGG106399 CamnCGG1om
Wres 5Q5/2021 Expires 5f25/E02
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS