HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a-1 Permit Number: � Od
d 3'(nlq
RECEIVED
Building Permit Applicat on MAR 2 7 2018
Planning and Development Services ST. Lucie County, Permltting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 5822 Honeybell Court#41A
Legal Description: The Grove Condominium Section One Unit 41A
Property Tax ID#.. 3410-507-0161-000-0 Lot No.
Site Plan Name: Block No.
Project Name: VANDERFLIER
Setbacks Front Back: Right Side: Left Side: x
DETAILED DESCRIPTION OF WORK:
Install 1 Accordion shutter and 1 roll shutter
CONSTRUCTION INFORMATION:
Additional work to b rtormed under this permit—check aMV(
apply:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers FIGenerator a Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2,175.00 Utilities:Cn Sewer 0 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name David&Inge Vanderflier _ Name: Michael Heissenberg
Address:5822 Honeybell Court#41A Company: Expert Shutter Services
City: Fort Pierce State:FL Address: 668 SW Whitmore Dr
Zip Code: 34982 Fax: City: Port Saint Lucie State:FL
Phone No.772-834-5335 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: Haleigh@ExpertShutters.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tilteco Inc. 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 intend to obtain financing, consult with lender or an attorney before
commencing work or recordJng yogir Notice of Commencement.
WV
__Xs
Signature of Owner/Lessee/Contractor as ent for Owner Signature of Contractor/License H der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY 01`22 - ( COUNTY OF c -
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this'?= p day of��6CIn 20 by this Zi day of r 20 �e) by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
A A_�4— 0
ignature ofotaryPu ic-State of Florida) Signature of of ry Pu/Ic
b -State of Florida)
Personally Known OR Produced Identification Personally Known `- OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No ,C�APy e . *,,q Commission No['ael Ik4 0�`1�G�pKy Ses1��9h Short
\" N �%�N�E�F3 �; �NOTARYPUBLIG
o F FLORIDA
--=Comm#GG148 42
Revised 07/15/2014 s�KCF191 EWA: Fx,,ires.5/25!2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS