HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �c
Date: SCANNED Permit Number: • l
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BY
- 61NN A St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services JUL' 2 0 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residenti54 Lucie county
PERMIT APPLICATION FOR: To S ox click arrow at the Lc31,0-4—(9_
P,ROPQSED ,IMPROVEIVI ENT LOCATfON—
Address: 9600 S Ocean Dr Apt 603
Legal Description: EMPRESS CONDOMINIUM UNIT 603
Property Tax ID #: 4502-620-0039-000-9
Site Plan Name:
Project Name: Goodman
Setbacks Front X Back: X Right Side: Left Side:
Install 3 Accordion Shutter
Lot No.
Block No.
cu wIUm uiu pci unL-uieLn au odpply.
11HVAC _Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers 0 Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4561.00 Utilities:Sewer 11 Septic Building Height:
OWNER/LESSEE:
„
.
CONTRACTOR:, =` .
Name Susan Goodman
Name: Michael Heissenberg
Address:9600 S Ocean Dr 603.
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 315-297-6477
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
It value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN'LAW INFORMATION
_
DESIGNER/ENGINEER: _
Name: TiltecoInc.
Not Applicable
MORTGAGE COMPANY
Name:
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: _Not
Name:
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 attornWbefore
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S�- l l l raf COUNTY OF `1-5 l 'k A ca e
The fo ding instrument was acknowledged j2ipfore me
this N day ofSNAl_T 20 Aby
The forgoing instrument was acknowledged efore me
this �� day of,�J�,�A , 20 by
Michael Heissenbk'g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
($ignature of of ry Pubblll''�-State of Florida ) ISignature of Not Public- State df Florida )
Personally Known OR Produced Identification Personally KnownUU " OR Produced Identification
Type of Identification Produced Type of Identification Produced
�
Commission No.rc,1y���2, (Seal) Commission No.1Ci b,�y2 (Seal)
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or
Revised07/15/2014 oSTATEOFFLORIDA o oSTATEOFFLORIDA
=Comm#GG148342 s ?Comm#GG148342
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