HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONP
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3T111� SCANNED Permit Number: �03 �d715
�. �.:�...x._,a BY ---- RECEIVED
I St. Lucie County
Building Permit Applicatio MAR 2 7 2018
Planning and Development Services -
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED.IMP;ROVEMENT�LOCATI(JN: s n"
Address: 9600 S Ocean Dr #808
Legal Description: EMPRESS CONDOMINIUM UNIT 808 (OR 1170-370: 1636-1
Property Tax ID #: 4502-620-0062-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Visscher
Setbacks Front Back: x Right Side: Left Side:
.DETAILED DESCRIPTION OF WORK
Install 1 Accordion Shutter
CONSTRUCTION INFO,RMA�ION, ';
UHVAC
Gas Tank
11 Electric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 3,100.00
jenn it —cnecx au appiy:
SasPip ing _Shutters
Sprinklers Generator
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Windows/Doors
Roof = Roof pitch
Building Height:
,OWNER/LESSEEc , , ° ;'; `:
---
:CONTRACTOR;
. i
Carl & Barbara Visscher
Name ---
Na--me: MichaelTieissentferg
Address:9600 S Ocean Dr#808
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-7696
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
uvaiue or construction is $Z50D or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
X NotApplicable
Name: rltewfnc.
Name:
Address: 6355 NW 36M St Sufte 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 ins Lion. If you inte�r d to obtain financing, consult with lende,_ an attorj�ey before
commencing w or r sor�lipg youyNotice of Commencement. / G A
� s
Signature of Owner/Lessee/Contractor s gent for Owner
Signature of Cont ctor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
�1- i � COUNTY OFl d P_
COUNTY OF `} I l jSa�
The forgoing instrument was acknowledged efore me
acknowledged
The forgoing instrument was acknowledged before me
this day of �Y�IYl Yl 20
this '2S Qday of (Yi�J1(C�l 20 �� by
Michael Heissenbg
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging )
(Signature o N taryulic- State of Florida
Ognature of Vo ry Pu ic- State of Florida )
Personally Known V/l5OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
J�
Commission N(SOW&, Haieigh Sh
rLCommission No. C-, (rARY aloveigh Short
`s` o NOTARYP'
Q(
SLIC ot, As` n_ NOTARYPUBLIC
9
C y
W = Comm# GG148342 v T = Comm#GG148342
Revised 07/15/2014 �/ CF IS Expires 5/2512021 NCE M, Expires 5/25/2021
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