HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
Il == m St. Lucie County REC HVE®
Building Permit Application AUG 2 3 2017
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 II
-PROPOSED;�MPROVEMENTLOCATIONr n r ,,;;•
Address: 9600 S OCEAN DR 706
Legal Description: EMPRESS CONDOMINIUM UNIT 706
Property Tax ID #: 4502-620-0051-000-9
Site Plan Name:
Project Name: Paulson
Setbacks Front Back: X
I INSTALL 1 ACCORDIAN SHUTTER
Right Side:
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION
11HVAC LJGas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2694.00
Gas Piping
Shutters
Sprinklers L J Generator
SqI FFtt.� of First Floor: _
Utilities: LJ Sewer E]Septic
QWindows/Doors
E]Roof = Roof pitch
Building Height:
WNER/LBS EE:,
CONTRACTOR' _
Name ROBERT PAULSON
Name: Michael Heissenberg
Address: 9600 S OCEAN DR #706
Company: Expert Shutter Services
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 772-877-2876
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 value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
A.
iPP M NTAi GO VTR(I tION111IEN t k 1
n
ORI�l1A rlOiV x f y ,{ N
45
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Tllleco Inc.
Name:
Address: 6355 NW 36th SlSuite 305
Address:
City: Virginia Gardens State: FL
City: State:
Zip:33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
as Ag$nt for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Ca e COUNTY OF kJ�-C X e
The forgoing instrument was acknowledged before me
this 1=1 day of ft AQI 1. + . 20 Jaby
Michael Heissenberg
(Name of person acknowledging )
Personally Known _
Type of Identification
Commission No.
715/2014
OR Produced Identification
The forgoing instrument was acknowledged before me
this j�::J_ day of f�nA a . , 20 F � by
Michael Hsissenberg
;Name of person acknowledging )
Ulm
(Signature of N a Public- tate of Florida )
Personally Know 7R Produced Identification
Type of Identification Produced
Haleigh Russell Commission No.
NOTARYI
C0mrr9 GG10B3W
Expires 5/25/2C21
Russell
Y PUBUC
STATE OF FLORIDA
Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS