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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f `� Date: 11/18/15 Permit Number: RECEIVED ___mm - -_-, Building Permit Application NOV 2 0 201 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 Residential PERMIT APPLICATION FOR: Shutter _P'sg' tMPFi(3VEMENT LQ.CATIC7 � yn_w �... Address: 9600 S Ocean Dr Jensen Beach, FL 34957 Legal Description: 02 37 41 BEG INT S LI N 856 FT ANDW R/W SR A1A RUN S 22 DEG 59 MIN21 SEC E ALG SD W R/W 155 FT,TH S 67 DEG 00 MIN 29 SEC E ALG SD N LI 290 FT TO POB-LESS AS IN OR 663-2748-(1.22 AC)(OR 663-2751;3589-2358;3639-804;3666-760) I WL Property Tax ID#: - - - 0 0 2-- ' Q©© - Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I�E' 15 W I"AILEb DCRIPTIQN£E1= ORK R Installation of one (1) accordion shutter. CTRUCTION INFaR { TIC# ,: .•_.,„...x.. .ter ._,- . Additwona wor to be nertormed under tispermit—checka appy: ti HVAC Gas Tank OGas Piping Shutters ❑Windows/Doors 11 Electric ❑ Plumbing Sprinklers 1:1 Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 2,362.00 Utilities:cnSewer Septic Building Height: Q4INERJLESSE g CQ[�1'RACTQOR g w. Name Empress Condominium Assoc Inc Name: Michael Heissenberg Address:9600 S Ocean DR Company: Expert Shutter Services, Inc. City. Jensen Beach State:FL Address: 1626 S.W. Biltmore St. Zip Code: 34957 Fax: City: Port St. Lucie State:FL Phone No.772-229-3003 Zip Code: 34984 Fax: 772-871-0990 E-Mail: Phone No. 772-871-1915 Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@aol.com from the Owner listed above) State or County License: 16572 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. "51-6010EIVIENT,A coNSTRUCTION LIEN LAIN INFORMATION; t : s DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Tiiteco.inc. Name: Address:6355 N.W.36th St.Suite 305 Address: City: Miami State: FL City: State: Zip: 33166 Phone: 305-871-1530 Zip: Phone: FEE SIMPLE TITLE HOLDER: _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 thepermit 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 inten to obtain financing, consult with lender or an attorneybfore commencing work or reco_rcl'ng yourMtice of Commencement. Rz. -2 �_ /. s _Signature of Owner/Lessee/Agent Signature of Contractor/Lice se Holder STATE OF FLORIDA p STATE OF FLORIDA COUNTY OF �� ��{ C►- L e COUNTY OF C 1� The for oin instrument was cknowled a before me The,f r Ing instrument)was acknowledged before me this I� `'day of DU�nn�e,� 20 by this day of N) -embel",20 l by P ' C (mol u 4tlawnloerQ (Name of person acknowledging) (Name of person acknowledging0'&L ) Q, ' (Signature of Notary7OR ic-Stato F ida) (Signature of Notary Public-State of o iPersonally Known Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification 'Produced Commission No. ("'„(,,( (S46HER VIZZO Commission No-” 0GO�t �( ea Ij4EATHER VIZZO r� 0 NOTARY PUBLIC c NOTARY PUBLIC a a -+STATE OF FLORIUA Revised 07/15/2014 Comm#FF 176265 i Comm#FF176266 s/*C61S1 Ex fres 11/13/2018 Expires 11/13/201 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMP LETE INITIALS