HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application REas�=�4�
Planning and Development Services
Building and Code Regulation Division DEC i 1 2917
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 9600 S Ocean or #402
Legal Description: Empress Condominium Unit 402
Property Tax ID #: 4502-620-0020-000-3
Site Plan Name:
Project Name: Smith
Setbacks Front Back: X
Install 1 Accordion Shutter
Right Side: Left Side:
Lot No.
Block No.
HVAC
F]Gas Tank
Gas Piping
ZShutters
❑
Windows/Doors
Electric
0
Plumbing
[]Sprinklers
El
Generator
11
Roof
=
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,694.00
S Ft. of First Floor: _
Utilities:'n Sewer 11 Septic
Building Height:
CtlkilE#JLE55,' e= _ t-:"
GON%RACEfR r
Name Timothy Smith
Name: Michael Heissenberg
Address: 3307 SE Glacir Terr
Company: Expert Shutter Services
City: Hobe Sound State: FL
Zip Code: 33455 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 52500 or more, a RECORDED Notice of Commencement is required.
Not App
Name: Tilteminc.
Address: 6355 NW 361h St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
no
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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
Signature
as Agyflt for Owner I Signature
STATE OF FLORIDA STATE OF FLORIDA�
COUNTY OF 51: 1 nJ_U Q COUNTY OF '--'A LA A—C t Q
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi{-2-1 day of NOV Gig( MV. 20 �1by thia i day of I�)�'�1Y11iOLi! 20 Va by
Michael Heissenlmg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
1 � I Vn p a 'C7 'f _-_
Signatur of otary Public- State of Florida) fSignature o N tary Public- State of Florida )
Personally nown ! OR Produced Identification Personally Known -""� OR Produced Identification
Type of Identification Produced Type of Identification Produced
CommissionNo.GG1(4S?:;,klZ (Seal) Commission No.&IG1�KZ7mciZ (Seal)
`ppy Raleigh Short
1
Revised 07/15/2014 A) o NOTARY PUBLIC o c STATE OF FLORIDA
o STATEOFFLORIDA ?Comm#GG148342
REVIEWS
FRONT E'1ONFf'
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PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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COMPLETE
INITIALS