HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: J'7
SCANNED
Building Permit Application St. BY
Planning and Development Services Lucie county
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Shutter III
Address: 9600 S OCEAN DR 904
Legal Description: EMPRESS CONDOMINIUM UNIT 904
Property Tax ID #: 4502-620-0067-000-4
Site Plan Name:
Project Name: Bitzer
Setbacks Front X Back: X
Install 3 Accordion Shutters
Right Side: Left Side:
Lot No.
Block No.
=RLICTION ANFORMATIGN:- v
alworKtOne erformea uncier tnis permit— check all app
Gas Piping E]
HVAC Gas Tank 2 — Shutters ❑ Windows/Doors
Electric 0 Plumbing OSprinklers 0 Generator El Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ 3450.00 utilities: Sewer E]Septic Building Height:
-OWNER/LESSEE -
CONTRACTOR:
Name Patricia Bitzer
Name: Michael Heissenberg
Address: 19 Morgan Hill Dr
Company: Expert Shutter Services
City: Daylestown State: Pa
Zip Code: 18901 Fax: —
Phone No. 772-229-2368
Address: 668 SW Whitmore or
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 vaiue or construction is $A:)uu or more, a KtLUKDED Notice of Commencement is required.
ucalulYCK/ c1YullVCtm _ Noll Appllcame
MORTGAGE COMPANY:
X Not Applicable
Name: ,:taw inc.
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
BONDING COMPANY:
Applicable
Name:
Name:
_Not
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 inspecrfiot., If you intend to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � t A ACI_e COUNTYOF_ -Q->-17 l.,l. CA-f
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisa3 day of SP 20 i� by this 'ram? day of Sif Cr -6 20 1-) by
Michael Helssenb'49 Michael Hsissenberg
(Name of person acknowledging ) (Name of person acknowledging )
Personally KnMn " OR Produced Identification
Type of Identification Produced
Commission No.C-q (Seal)
Revised 07/15/2014
NOTARY PUBLIC
STATE OF FLORIDA
( ignature of of ry Puglic- State of Florida )
Personally Known �// OR Produced Identification
Type of Identification Produced �^
Commission No.�-)-JS('-7-% (Seal)
Russell
W.
amm#GG10B3%
'746EISV Expi
51252021
REVIEWS
FRONT
ZO
1 PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
0-17
COMPLETE
,'Z_
(J
INITIALS
Op