HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `-� q
Date: SCANNED Permit Number: ' 1 I 1- 0 0 0
_ x B a-1q
Y
St. Lucie a r � e�:;
County
Building Permit Application NOV 0 4 2017
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 II
PROPOSED IMPROVEMENT LOCATION: i
Address: 9600 S OCEAN DR 702
Legal Description: EMPRESS CONDOMINIUM UNIT 702
Property Tax ID #: 4502-620-0047-000-8
Site Plan Name:
Project Name: SEGALLA
Setbacks Front Back: X
Install 1 Accordion Shutter
Total Sq. Ft of Construction: _
Cost of Construction: $ 2694.00
Right Side: _
Sprinklers
Left Side:
IVI Shutters
❑ Generator
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
01NNER(LESSEE
ZONTRACTOR: s'
Name Karen E Segalla
Name: Michael Heissenberg
Address:9600 S Ocean DR Apt 702
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.305-799-3723
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
u vame or construction is >zbuu or more, a KtcuKutu Notice of Commencement is required.
SUPPLEMENTALCONSTFtUCIIOid
-
LIEN 14W`INFORMATION:
x
" `°
4
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiitecolnc.
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip:33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: = 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work q eco 'n ypur Notre of Commencement. All
Signature
as Af$nt fbr Owner
STATE OF FLQQ.�IDA I STATE OF FI
COUNTY OF_—_-5} l A.Q C A- a COUNTY OF
The forgoing instrument was acknowledged efore me
this�K day of Sr��_, 20 I�y
Michael Heisseng
(Name of person acknowledging )
OR Produced Identification
Type of Identifications �Produced
Commission No-6.1 .> q
Hall
The forgoing instrument was acknowledged before me
thisca day of SP. :E, . 20 I? by
Michael Hsissenberg
(Name of person acknowledging)
(Ilignature of of-Puubblic- State of Florida )
Personally Know `/ OR Produced Identification
Type of Identification Produced
M
NOTARY PUBLIC
Revised07/15/2014 s Comm#GG108399 Ccam#GG108399
te'� Expires 5/25/2021 . 0 t ' Expires 5/2M021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
1c2 —5'I
INITIALS
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