HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —7 /
Date: SCANNED Permit Number:
St. Lucie County RECEIVED
Building Permit Application NOV a;i
Planning and Development Services 2017
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter III
Address: 9600 S OCEAN DR 1003
Legal Description: EMPRESS CONDOMINIUM UNIT 1003
Property Tax ID #: 4502-620-0075-000-3
Site Plan Name:
Project Name: Caruso
Setbacks Front Back: X
I Install 1 Accordion Shutter
Right Side: Left Side:
Lot No.
Block No.
C0� 13LICIIP INFORMATION
, .Y :N
rtiona worK to
11HVAC ff
e Harmedun ert
Gas Tank
ispermrt—c ec
Gas Piping
a appy:
Shutters
Q
Windows/Doors
11 Electric ElPlumbing
[]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 2694.00
Utilities :Sewer
Septic
Building Height:
1bWNER/LE5SEE: _ # '
CONTRACTOR,
Name Thomas Caruso
Name: Michael Heissenberg
Address:26 W Granada Ave
Company: Expert Shutter Services
City: Lindenhurst State: Ny
Zip Code: 11757 Fax:
Phone No. 631-226-4565
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
11 VOIUC .,1 wunueLuun i> pcauu ur more, a ren.Unueu Notice oT commencement is required.
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DESIGNER/ENGINEER:
Not Applicable
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_
MORTGAGE COMPANY:
Not Applicable
Name: Tiltecoinc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: UrginiaGardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
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 to obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 4�—:>E lit c f COUNTY OF `�>4— I, i &Cn-C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this(_ day of SP 20 Lby thispiI day of Se Q±. . 20 Vll by
Michael Heissenoarg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Personally Known v OR Produced Identification
Type of Identification Produced
Commission Ncr. C�, IC07j' (Seal)
Revised 07/15/2014
(Si nature of N to Public- State of Florida )
Personally Known �/OR Produced Identification
Type of Identification Produced
Commission No. J -,io (Seal)
STATE OF FLORIDA
Cerrtm# GG108399
Haleigh Russell
s rATE OF FLORIDA
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REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
�3
COMPLETE
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INITIALS