HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FQI �PNPb CATION TO BE ACCEPTED �L
11
Date: BY t Permit Number: U
St. Lucie County ��E
Fte� a
Building Permit Application 4UG 2 3 2097
Planning and Development Services
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 III
Address: 9600 S OCEAN DR 1005
Legal Description: EMPRESS CONDOMINIUM UNIT 1005
Property Tax ID #: 4502-620-0077-000-7
Site Plan Name:
Project Name: Deegan
Setbacks Front Back: X Right Side: Left Side:
Install 1 Accordian Shutter
Lot No.
Block No.
0
Gas Tank
Gas Piping
14
Shutters
11
Windows/Doors
0
Plumbing
❑Sprinklers
1:1Generator
0
Roof
=
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3098.00
S Ft. of First Floor:
Utilities:cnSewerE]Septic Building Height:
OS�1iNER" fgs a a .«
ONT:RACTOR , l r r m t..
Name Raymond Deegan
Name: Michael Heissenberg
Address:445 Lakeshore Pointe Or
Company: Expert Shutter Services
City: Howell State:M]
Zip Code: 48843 Fax:
Phone No. 248-514-2773
Address: 668 SW Whitmore or
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1
DESIGNER/ENGINEER: Not Applicable
Name: Tlteeelnc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
1R'MA7ION:
t-"
MORTGAGE COMPANY:
Name:
%Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
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 iq�end to obtain financing, consult with Ip-4er or an attorney before
commencing wor r na vobr Notice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_<,::�� U )-CA COUNTY OF C-V l iI.LCJt
The for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisdayof 61 QUS+ 200-by this -M day of-f(UQLJ'�' 20 )-1 by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
40 �
r5ignature of(7ary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No(_JLQ_LL2W ((Seal) ugh Russell
AWk NOTARY PUBLIC
Revised 07/15/2014
Elmires 5f2s=21
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission NoeLC::U ��J�� (Seal)
HaLbh Russell
Q lA 1 E OF FLORIDA
CcMft GGtnaono
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liras 512512021
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