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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� Date: SCANNED Permit Number: 00 - On a s w BY �dE�a1 �® ` . St. Lucie County NOV G ;! Building Permit Application 2017 Planning and Development Services PERfArrrING 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 ORQPdO ED IMPROUEIVIENT LOCATION:; ' v Address: 9600 S OCEAN DR 1104 Legal Description: EMPRESS CONDOMINIUM UNIT 1104 Property Tax ID #: 4502-620-0085-000-6 Site Plan Name: Project Name: URBAN Setbacks Front Back: X INSTALL 1 ACCORDIAN SHUTTER Right Side: Left Side: Lot No. Block No. CONSTRUCTION�)N` FORMAT#©N:x rtionalwor to ene orme un ert ispermit—c ec a apply: OHVAC 0GasTank E]GasPiping _Shutters ❑Windows/Doors 11 Electric 0 Plumbing []Sprinklers ElGenerator E] Roof Roof pitch Total Sq. Ft of Construction: Sct. of First Floor: Cost of Construction: $ 1797.00 utilities: Sewer 0 Septic Building Height: OWNER/LESSEE:: CONTRACTOR:, Name Kenneth Urban Name: Michael Heissenberg Address: 9600 S Ocean Dr #1104 Company: Expert Shutter Services City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No.772-530-8927 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 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name: Tiltem Inc. Add refs: 6355 NW 36th St Suite 305 City: Virginia Gardens State: FL Zip: 33166 Phone: FEE SIMPLE TITLE HOLDER: = 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 inspection. IfXou intendnto obtain financing, consult with lender or an attorney jiefore as AKe)Jt for Owner STATE OF FLORIDA COUNTY OF St Wde The for oing instrument was acknowledged before me thiM day of Icy 20'Mby STATE OF FLORIDA COUNTY OF stucia The forgoing instrument was acknowledged before me this `L day of !E } . 20 _Ja by Michael Helssen4,9 Michael 1-15lssenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of ary Pu- State of Florida ) Personally K n OR Produced Identification Type of Identification Produced Commission No.d&M_S'�% (Seal) ('nature of N a Public -State of Florida ) Personally Known r/OR Produced Identification Type of Identification Produced Commission No.C-stf n lf)ICSy` 1 (Seal) !�9h Russell " tyPUBL10 —STATE OF --ORI Revised 07/15/2014 "CT�ATEOFFLORID • O OFFLO CA rn* yes 5�2 �11w' Uzi REVIEWS FRONT ZONING SUPERVIS91 PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE _ COMPLETE INITIALS