HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n /
Date: SCANNED Permit Number: I 911 _ On
BY
St. Lucie County R E C IE' V E D
Building Permit Application NOV 0 9
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT APPLICATION FOR: Shutter
Address: 9600 S OCEAN DR 304
Legal Description: EMPRESS CONDOMINIUM UNIT 304
Property Tax ID #: 4502-620-0013-000-1
Site Plan Name:
Project Name: Segalla
Setbacks Front Back: X
I Install 1 Accordion Shutter
L IHVAC LLGas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2694.00
Right Side: Left Side:
tmspermit—cneCKau apply:
[]GasPiping [Vo_Shutters
[]Sprinklers 0 Generator
zulf
PERMITTING
St. Lucie County, FL
Residential
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTQR;
u
Name Karen Segalla & Lucia Cerullo
Name: Michael Heissenberg
Address: 9600 S Ocean Dr #702
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-6146
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.
Name: Tilteccinc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens
Zip: 33166 Phone:
Not Applicable I MORTGAGE COMPANY: x Not Applicable
State: FL
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 inspec rr,1..,, If you inte to obtain financing, consult with lender or an attorney before
commencicie work ror reHciaMine vour otce of Commencement. —7
STATE OF FLQaIDA STATE OF FLORI A
COUNTY OF �} I.UGi ? COUNTY OF i LUG'e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisc>ll day of SC4P 2 ' 20 ])—by this,)_ day of —':�?`7, 20 0_ by
Michael Heissen4rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
State of Florida
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.0 S Russell
�,; _ _ ARYPUBLIC
(S nature of Not ry Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced)(
Commission No. �`1lD&!!R / (Seal)
r Haleigh Russell
_ NOTARY PUBLIC
Revised07/15/2014 'ry e" Expires525/2021 Comm* GG1W399
' Expires 525/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS