HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
J _
•
Building Permit Application
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 Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 804 Shorewinds Dr #A
Legal Description: CORAL COVE BEACH -SECTION ONE- BILK 1 THAT PART OF LOTS 18 AND 19
Property Tax ID #: 1425-701-0019-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Woodcock
Setbacks Front-x Back: x Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 3 accordion shutters. FL #389
CONSTRUCTION INFORMATION:
Additional work to e er orme under this permit — check a that apply:
�HVAC 11 Gas Tank Gas Piping Shutters ❑ Windows/Doors
Electric ❑ Plumbing ❑ Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,508.00
S Ft. of First Floor: _
UtiIitiestSewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Florida Beach And Golf Retreats LLC
Name: Michael Heissenberg
Address: 7216 Maidstone DR
Company: Expert Shutter Services
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-631-1977
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
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: Haleigh@ExpertShutters.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: — Not Applicable
Name: Tilteco Inc.
Address: 6355 NW 36th St Suite 30E
City: Virginia Gardens
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
State: FL
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
State:
,Not Applicable
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 0end to obtain financing, consult with lender or an attorn y before
commencing wqpk—qr`r o ding Vbur Notice of Commencement. ,�/�
Signature of Owner,
nt for Owner I Signature of Contrac`for/License H
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S{- 1. J A e_ COUNTY OF � t."C.► IM
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �uQ X2C!V 20 ]1by this day of �� 0N&. )920(, 20 D by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
re of/Ndtary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Signature of t9i
ry Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.(2jG 1Ug_3Li2 (Seal) Raleigh Short Commission No.c,. GNR3�-i
i
A&4 NOTARY PUBLIC
(SeA6igh Short
bn NOTARY PUBLIC
Revised 07/ 15/2014 z Comm# GG148342 1 ? Comm# GG148342
e $4 Exnires 5/25/2021 Expires 5/25/2021
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