HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 '\4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p /�7 l(� 1
Date: SCANNED Permit Number: I`1 O - F I I , I
BY
St. Lucie County
Building Permit Application
Planning and Development Services F-..
Building and Code Regulation Division EC E O@, tu,J
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x ResidentialAUG 2 3 17
PERMIT APPLICATION FOR: Shutter
■ d G{6J d®L'9 Q IJ111ri IN Gd9]y161y1I N P IN IeIve\ I 11111101
Address: 9600 S Ocean Or #909
Legal Description: Empress Condominium Unit 909
Property Tax ID #: 4502-620-0072-000-2
Site Plan Name:
Project Name: Stapinski
Setbacks Front Back: x
Install 4 accordian shutters
OHVAC 11 Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7415.00
Right Side: x Left Side:
un—u1eLn du dppry:
P V Shutters
nklers E Generator
_ Sq� FFtt.I of First Floor: _
Utilities: Sewer 0 Septic
Lot No.
Block No.
W indows/Doors
E]Roof = Roof pitch
Building Height:
017VNER%LESSi
E "
CONTRACTOE2:'
x
Name Patricia Stapinski
Name: Michael Heissenberg
Address:12 Apache Ave
Company: Expert Shutter Services
City: Andover State: MA
Zip Code: 01810 Fax:
Phone No. 978-618-1933
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 ,52500 or more, a RECORDED Notice of Commencement is required.
SUI'INLtIVItNJALCUNSIKU.tIEN LAW,INFORMATION't
I GIIUNa
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: % Not Applicable
Name: Tiltecoine. Name:
Address: 6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 work9r-fecordirig yourXotice of Commencement. 1--') .,
Owner
STATE OF FLORIDA STATE OF FLORjAA
COUNTY OF,4a�- COUNTY OF L L l l Ca (f
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisc dayof JkAl-�,l 201Zby this-,—�AJdayof_JU(y 20I'-) by
Michael Heissen4m Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
IgWature of o ry PublicyState of Florida ) Signature cjf Nbtaj Publifr State of Florida )
ersonally Kn n ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Prodducced� n Type of Identification Produced
l��'1O
Commission No( -B-9(� ) Haleigh R Commission No. (Seal)
NOTARY PU IC PRY Haleigh Russell
FLORIDA NOTARY P
Revised 07/15/2014 Comnd GG10B399 STATE OF FLORIDA
Expires 512512021 Con" GG108399
REVIEWS
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