HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE
Date:
:TE0.EOR� LLCATION TO BE ACCEPTED j
J BY Permit Number: 1 1 .00) O
St. Lucie County ®
t
Building Permit Application NOV 0 1 299
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 ^
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter III
L:PROPOSED IMPROVEMENT LOCATION t� III
Address: 9600 S OCEAN DR 205
Legal Description: EMPRESS CONDOMINIUM UNIT 205
Property Tax ID #: 4502-620-0009-000-0
Site Plan Name:
Project Name: Shelton
Setbacks Front Back: x
Install 3 Accordian Shutters
Right Side: Left Side:
Lot No.
Block No.
RCONSIRUCTION;INFO,RMATION::�
p
x
AaClitionalworKtoDnirrormed
under
this permit cheCK an
apply:
0HVAC
Gas Tank
Gas Piping
Shutters
❑
Windows/Doors
11 Electric OPlumbing
❑Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sof First Floor:
Cost of Construction: $ 3120.00
Utilities-InSewer
Septic
Building
Height:
01NI+1ER/LESSEE:'F
=`7 gJ'CONTRACTOR"
Name C H Shelton
Name: Michael Heissenberg
Address:9600 S Ocean #205
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: `34957 Fax:
Phone No. 772-229-7824
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.
SU`APL=EMR.7 (ICONSTRUGT40N'LIEN IAUU INPQRIVIAT)ON
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecolnc.
MORTGAGE COMPANY:_
Name:
Not Applicable
Ad d ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
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 i c n. If you intggnd to obtain financing, consult with len r or an attory�ey before
commencing orkpr rp r ngvoLWNotice of Commencement.
as
STATE OF FLOBIDA STATE OF FLO IDA
COUNTY OF 7}* COUNTY OF '�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi dayoffti Jia( 20 aby thisZj;Qdayof-ffi aQLtQ,+ ,20 aby
Michael Heissenb6i; Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
State of Florida )
State of Florida
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NOC16109_2�99� (Seal) Commission Noc—&)D 9 (Seal)
�-�pppp������� Raleigh Russell
?7 �16 unTADV MIDI tr : W_YA - Raleigh RuSeell
FLORIDA
Revised 07/15/2014
OF FLORIDA
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
07271
PIP
INITIALS
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