HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date: SCANNED Permit Number: _ l� I �' 0( o^per
BY
St. Lucie Countv
.v. �'_ n
Building Permit Application DEC j .1 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County. FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 9600 S OCEAN DR 503
Legal Description: EMPRESS CONDOMINIUM UNIT 503 (OR 2145-21
Property Tax ID #: 4502-620-0030-000-6
Site Plan Name:
Project Name: Kiefer
Setbacks Front Back: X
Install 1 Accordion Shutter
11HVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2694.00
Right Side: Left Side:
+-
t ispermrt—ctecca apply:
-
[]Gas Piping �_ Shutters
Sprinklers I Generator
5 Ft. of First Floor: _
Utilities: Sewer E]Septic
Lot No.
Block No.
Windows/Doors
E] Roof = Roof pitch
Building Height:
"OWNER%LESSEE
ONlRACTOft:N
Name William N Kiefer
Name: Michael Heissenberg
Address: 9600 S Ocean Dr #503
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-0642
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
a value or construcuon is ?couu or more, a newnutu rvotice or LOmmencement is required.
✓l.JrVrYGr�r LIYVIIYLCR. — INDL HppiicaDle MORTGAGE COMPANY: . Not Applicable
Name: Tlteceinc. Name:
Address: 6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City:
State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 intendlto obtain financing, consult with lender or an attorney before
commencing work oP+Kordittgyour No6tirp of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF E '' t A 1 C ; jr- COUNTY OF ,Cs} l - A_LC i e
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of k)aJefYY- 20 L"lby this _ day of �MlO�✓-'0 �'Z by
Michael Heissenb�lg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
ignature of o ry Pub' -State of Florida) (Signature of No ary Public- State of Florida )
Personally Known OR Produced Identification Personally Known 3/ OR Produced Identification
Type of Identification Produced ��%% Type of Identification Produced
1
Commission No.�lr (I%Ah Short Commission No. �G� `-! d.''I ?,1pR{&eal)Haleigh Short
NOTARY PUBLIC i TO NOTARY PUBLIC
Oil
Revised07/15/2014=Comm#GG148342 9rComm#GG148342
�'rCE 19 6 Expires 5/2512021 OE 19h Expires 5/26/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW¢
REVIEW
REVIEW
REVIEW
DATE
�p
COMPLETE
INITIALS
C/—