HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt
ALL APPLIC47LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -��' )7 SCANNED Permit Number:
4, ... BY
~� It I.Ucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S OCEAN DR 1405
17 a- JS_a�
Commercial X Residential
Legal Description: EMPRESS CONDOMINIUM UNIT 1405
Property Tax ID #: 4502-620-0104-000-6
Site Plan Name:
Project Name: CERULLO
Setbacks Front Back: X
I INSTALL 3 ACCORDIAN SHUTTERS
11HVAC U_ Gas Tank
1-1 Electric 1:1Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3854.00
Right Side: Left Side:
Piping IV Shutters
!rs "Generator
S Ft. of First Floor: _
Utilities: []Septic
AUG 2 3 2017
Lot No.
Block No.
Windows/Doors
DRoof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LUCIA CERULLO
Name: Michael Heissenberg
Address:9600 S OCEAN DR APT 1405
Company: Expert Shutter Services
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 305-799-3725
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ;
DESIGNER/ENGINEER:
Name: rltecoInc.
_ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Add ress: 6356 n w 36m sl suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: _Not Applicable
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 tpjobtain financing, consult with lervder own attoMey before
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,(.l.(U e COUNTY OF Sir l lJl Ca e
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this Jaday of ju�Y 20aby this day l�,20(� by
Michael Heissen4i; Michael Hsissenberg
(Name of person acknowledging ) (Name of person acknowledging)
'(Signature df fyotary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.6<IDE3C%C'/ (Seal)
<nure._ Helelgh Russell
Revised 07/15/2014
Gomm# GG108399
Exolres 5125l2021
( ignature N tary -Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission
Russell
Ocrmr4 GG108399
EvIres 5l wrigi
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