HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/15 Permit Number:
Building Permit Application NOV 2 0 2015
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
PR3P{JSED tMPRQUI=MENT,LO'CATICN
Address: 9600 S Ocean DR 1508 Jensen Beach, FL 34957
Legal Description: EMPRESS CONDOMINIUM UNITS 1508, 1509 AND UNIT G-27 (OR 3789-2912)
Property Tax ID#: 4502-620-0116-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIQN OF WORK ,' t
Installation of five (5) accordion shutters.
CONST�RUCTIaN [NFORMAT)QN s , H
p ..,
Additional workto e e orme under tis permit �
–check ec a appy:
❑HVAC Gas Tank Gas Piping Shutters Windows/Doors
— ❑ P g ❑
11 Electric ❑ Plumbing 0Sprinklers E Generator 11 Roof
Total Sq. Ft of Construction: Scl. Ft. of First Floor:
Cost of Construction: $ 10,505.00 Utilities:0 Sewer 0Septic Building Height:
C} tNER%LPSS, j `CC3tU7"RACT t; R
,
Name Tal John&Darlene Rancourt Name: Michael Heissenberg
Address: 19 Cloverleaf BYP Company: Expert Shutter Services, Inc.
City: Lake Placid State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 33852 Fax: City: Port St. Lucie State:FL
Phone No.863-991-0000 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.
SU` tEIVIEIITAI� M
COTIUI LII LAW INS RMATIONl�
.`v�..NSTRIJ
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 intend to obtain financing, consult with lender or an attorney before
commencing work ecordin our tice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/Lice se Hold
STATE OF COUNTY OF FLORIDA LUCi,n COUNTY OF STATE OF FLORIDA C )` LU(l.�
The fJ�r�o,ing instrumen was knowledged before me The forcing instrument was acknowledged before me
thist�'�-'day of VJ M P1 20 �by this l a=day of "VPM 20 j�5 by
MIC LIP
1 ',," Mcho� I
(Name of person acknowledging) (Name of person acknowledging)
V,Q-a+)w
(Signature of Notary Pu lic-State o F o i a) (Signature of Notary Pub'c-State of i
Personally Known 7 OR Produced Identification Personally Known�OR Produced Identification
Type of Identification Produced Type of Identification Produced/ J
Commission No:Fc (':P160 a�EAHER VZO Commission Nof; NEATHER VZZO
o OTQoR NOTARY PUBLIC ARY
PUBLIC
STATE OF FLORID4 ESTATE OF FLORID
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Revised 07/15/2014 s�ycE 19N� Expires 11/13/2018 'r�'vcE Expires 11/13/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
CO M P LETE
INITIALS