HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: l 76$ — Oz4LJ g
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"' St. Lucie County �� a
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Building Permit Application
Planning and Development Services AUG 2 3 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
� OPOS D IMRROVEfVIEN`T LOCATION: -�
Address: 9600 S OCEAN DR 905
Legal Description: EMPRESS CONDOMINIUM UNIT 905
Property Tax ID #: 4502-620-0068-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Higgins
Setbacks Front X Back: X Right Side: Left Side:
Install 3 Accordian Shutters
CONSTRt1CTlON'INFO ,, MA'TION R
JU 11CU uuuel uunput rnn—cnecxau appry:
�HVAC _Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S�Ft. of First Floor:
Cost of Construction: $ 3854.00 Utilities: L_I Sewer Septic Building Height:
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CONTRACTOR;
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Name Alice Higgins
Name: Michael Heissenberg
Address: 9600 S Ocean Dr Apt 905
Company: Expert Shutter Services
City: Jensen Beach State: FL
—Zip Code: 34957 Fax:
Phone No.423-802-5580
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
.a�..� ... U ODU VI IIIYIC, a RCCURUCU IYO[ICe Or Lommencement Is required.
uE51GNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: • Not Applicable
Name: Tliterminc. —
Name:
Address: 6355 NW 36m si suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 337fi6 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City: _
Zip:
Phone:
Not Applicable
BONDING COMPANY: —Not Applicable
Name: _
Address:
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 interp>e
to obtain financing, consult with lender or an attoy before
commencing wo k.GVourJ9otice of Commencement.
as
STATE OF FLORIDA J STATE OF FLORIDA
COUNTY OF 4a—� l .l 1 Ca P COUNTY OF < � A a C � -e-
The forgoing instrument was acknowledged fore me The forgoing instrument was acknowledged before me
this day of 4Lil )�',I,L.f .s t" . 20 6y this S-) day of 11:�:IAa ��S-}- . 20 by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
1. 1(_A_bFAL A 1� 7vJ9
(Signature ollNbtary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
(Signature of o ry Public- State of Florida )
Personally Known Y OR Produced Identification
Type of Identification Produced
Commission No.aG ID a MM R i,,, I Commission
Revised 07/15/2014 " EMAres=512021
FO O ell N
CCMRV G108398
EXDIIKie Ancmm.
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