HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONW
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /n/n� (�
Date: SCANNED Permit Number: I %1I _ oo7 l
BY
3t. Lucie County
• a Building Permit Application RECE:WED
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 Or #806
Legal Description: EMPRESS CONDOMINIUM UNIT 806
Property Tax ID #: 4502-620-0060-000-5
Site Plan Name:
Project Name: Rhoades
Setbacks Front Back: X
Install 1 Accordion Shutter
[JHVAC Li Gas Tank
11Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2694.00
Right Side: Left Side:
nn—WecK dill apply:
Piping Shutters
NOV 0 2°2017
PERMITTING
ResiArll al County, FL
ors ElGenerator
S Ft. of First Floor: _
Utilities:cnSewer Septic
Lot No.
Block No.
❑Windows/Doors
11 Roof = Roof pitch
Building Height:
OWNEit/LESSEE =r r
CONTRACTOR
Name William Rhoades
Name: Michael Heissenberg
Address: 3112 Bloomfield Court
Company: Expert Shutter Services
City: Plano State: TX
Zip Code: 75093 Fax:
Phone No. 772-229-5657
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.
r4'�
.r. 'jai
vY 1�14'i.�4ilEiW
�i"d}.M1`�{•,.'aeh{'{.
Sv
DESIGNER/ENGINEER: _
Name: Tiltecelnc.
Not Applicable
MORTGAGE COMPANY:
Name:
x_ Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
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
as Aaeflt for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF l _LLC� e COUNTY OF C7i' (A A Ci
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ]1 day of CY'-IT>I>-e_Y , 20 12by this _a day of f�, 20 by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission Naa�LU
Revised 07/15/2014
ignature of N to P_ubli/c-State of Florida )
Personally Known v OR Produced Identification
Type of Identification Produced
Haleigh Short Commission
NOTARY PUBLI
STATE OF FLO IDA
Expires 5/25/2021
('Adigh Short
NOTARY PUBLIC
.Comm# GG148342
Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
p
102-4��
COMPLETE
INITIALS
CI p