HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -7 d
Date: SCANNED Permit Number: 1 `1) o' Q 41g r 7
Ste. 6_��Qk.. BY
• - St. Lucie County RECEIVE D
Building Permit Application
Planning and Development Services AUG 2 3 2011
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
Address: 9600 S Ocean Dr #708
Legal Description: Empress Condominium unit 708
Property Tax ID #: 4502-620-0053-000-3
Site Plan Name:
Project Name: Parks
Setbacks Front Back: x
Install 3 Accordian Shutters
OHVAC
0
Gas Tank
11Electric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 3450.00
Right Side: Left Side:
Piping U Shutters
=rs E Generator
S� Ftj. of First Floor: _
Uti Iities: L_I Sewer E]Septic
Lot No.
Block No.
Windows/Doors
0 Roof = Roof pitch
Building Height:
ONNER(LESSEE
' _< s .
GONTRAGi0 R`V:
Name Patricia Parks
Name: Michael Heissenberg
Address:9600 S Ocean DR #708
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-877-3482 OR 203-887-5204
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
avame or construction iss?quu or more, a xtcunutu Notice of Commencement is required.
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SUPPLEMENTAL;C0NS�I2UCTC0NLIEN
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DESIGNER/ENGINEER:
Name: Tltecoinc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
%Not Applicable
Add ress: 6355 Nw 36In st sV@e 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State; FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
= 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 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.. I�yeuintend to
,Obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA
COUNTY OF stlucle
STATE OF FLORIDA
COUNTY OF stud-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of ;1t JQIC:f , 20 (Zby this 0% day of j�( I�S� 20 f Z by
Michael Heissenb619 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
_JJ(iVl�ll li� r v
ignature of of ry Public- State of Florida) ignature of of ry Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NoGC-aLDI 9 (Seal6ifth Russell Commission N�99 (Seal) Russell
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORInA
Revised07/15/2014 C0mrn#GG108399 CanmOGG108399
t Expires 5/25/2021 t Wres 5/25/2021
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