HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
® µ
RECEIVED
Building Permit Application DEC 2 3 2019
Planning and Development Services ST. Lucie County, Permitting
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
PROPOSED.IMPROVEMENT LbCATIQN
Address: 3100 N HIGHWAY A1A 1205
Legal Description: SANDS ON THE OCEAN-SECTION 1-UNIT 1205
Property Tax ID#: 1425-606-0057-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Alvarez
Setbacks Front Back: X Right Side: X Left Side:
DETAILED DESCRIPTION ( :WORK r
y
Install 4 accordion shutters
CONSTRUCTIC}N JNFORIVIATIONMcI . '
�-
itiona work to e e orme un er t is permit—check a appy:
HVAC Ei Gas Tank
—]Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing ;Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 7,918.00 Utilities:Sewer Septic Building Height:
r
O.WNERJLESSEE
CONTRACTQR
r F v+
Name Susan B Alvarez Name: Michael Heissenberg
Address:4 Autumn Cir Company: Expert Shutter Services
City: Rocky Hill State:CT Address: 668 SW Whitmore Dr
Zip Code: 06067 Fax: City: Port Saint Lucie State:FL
Phone No.860-778-4238 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.
St1PPLEMENTAL GONSTftUCl'ION I:IN.LA1N INFORMATION:,
_
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecolnc. 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 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�yitencl to obtain financing, consult with lender or an attor ey before
commencin w r or co)rding Our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Atent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLI A
COUNTY OF c �`,9 COUNTY OF�(���
The f rgoing instrument was acknowledge before me The f rgoing instrument was acknowledged before me
this day of C 20 11_11 by this (� day of X(_. 20 )9 by
Michael Heissenb4,g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
L,�� c bt Ua
(Signature of Notary Public-State of Florida) (Signature of Notary`Pub/lic-State of Florida)
Personally Known. OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Shanon O'Shea (� p
,,,Rl,,,Commission No. of NOTARY PUBLI Commission No. OTARY PUBLIC
Q o TATE OF FLORIDA
STATE OF FLO IDAComm#GG258038
INCE 11_0 Expires 9/1212022
Revised 07/15/2014 cE t9 Expires 9/12/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS