HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7 1
Date: SCANNED Permit Number: l I 1 "
BY
N , St. Lucie County RPCECVE®
Building Permit Application NOV 61
Planning and Development Services 2017
Building and Code Regulation Division PEFiRlli7lNGcie Cou
2300 Virginia Avenue, Fort Pierce FL 34982 SI. Lun
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential ty, FL
PERMIT APPLICATION FOR: Shutter III
rrturu=w IIVI V KU V tIVItNJ° LUCA I JUN t r
Address: 9600 S OCEAN DR 1103
Legal Description: EMPRESS CONDOMINIUM UNIT 1103
Property Tax ID #: 4502-620-0084-000-9
Site Plan Name:
Project Name: Quinn
Setbacks Front X Back: X
Install 3 Accordion Shutters
CONSTU,CTION<INFORNIATIC+N:�
Right Side
Left Side:
Lot No.
Block No.
0HVAC 01 Gas Tank ❑Gas Piping LJ Shutters ❑ Windows/Doors
Electric 1:1 Plumbing ❑Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3450.00 Utilities: Sewer Septic Building Height:
OWN ER/LESSE€
GONTRACTQR:
Name Jerome Quinn
Name: Michael Heissenberg
Address:9600 S Ocean Dr#1103
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-7951
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 nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
•• •u•••_ u• w••auu�uon •� Jcjev Ua aaaurre, a ncuunucu rvonce or Lommencemem rs regwrea.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tltem Inc.
Ad d ress: 6355 NW 36th St Suite 305
City: Virginia Gardens State:
Zip: 33166 Phone:
FL
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 inspeetipnJf you intgnd to obtain financing, consult with lender or. attorrl. before
Owner
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF � L —k_ C -e_ COUNTY OF �r ( A �C a e
The f rgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiday of )C)CV, 20 ,aby this -A day of,� rY1 Yee r )-) by
Michael Heissenb�rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
State
of Florida )
Personally Known V OR Produced Identification Personally Known '-*' OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission Noac-1I( = (Seakaleigh Russ", Commission No. t (Seal)
NOTARY PUBLIC wr :felBfgh RUw
Revised 07/15/2014 C°mm#GG108399 STATEOFFLORIDA
I:t� Expires 5125/2021 C0mm#GG10WW
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
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REVIEW
DATE
COMPLETE
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