HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '��; ��� -1 Permit Number:
EJ ECEIVED
DEC 2 3 2019
11 111 1 11p Building Permit Applicatio
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 IIVIPROUEMEtVT LOCATIE}N
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Address: ILNO �. (�ClZCtY1 �Fi�� 2a
Legal Description: &-.�2 Q.W&MmiOnn AOS 20? AM Onbi SIrye Sin (Imm der
Property Tax ID#: ���1 -515-MCo -OW---:lr Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DEtA LED DES(RIO, "'A060
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of i�
CNSTRUCTIC�N INFORMATION
Additional wor toe nerrormed un d er t is permit-check ka appy: �
HVAC Gas Tank Gas Piping M
Shutters Windows Doors
Electric ❑ Plumbing Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �4�`� utilities:nSewer Septic Building Height:
0111/NEF2/LESS'EE �� �, `C �x
ti F ONTRACOR
Name ", Name. Michael HeissenbergNs
Address-.(2253 �ak�r ar�u Company: Expert Shutter Services
City': ��C_�FVtx� State:kir Address: 668 SW Whitmore Dr
Zip Code:LJ!300 2 ! Fax: City: Port Saint Lucie State:FIL
Phone No.LA- fpR-a-39 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.
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L�Mf ' AL�flNSTRU�I'101U LIEN I.AW INRMA4
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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:
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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 fort,
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you inte to obtain financing, consult with lender or an attorney before
commencing work,orTaprc in our otice of Commencement.
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Signa ure of Owner/Lessee/ ontrac or Agent f� Owner Signature of ontractor/Licen o d \
STATE OF FLO A, STATE OF FL A 1
COUNTY OF LIQ COUNTY OF p�
The fo oing instrume s acknowledge before me The forgoing instru was acknowledged efore me
this Zday of 20 by thisc>Njday of 20 by
Michael Heissenbi6rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
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Personally Known OR Produced Identification Personally Knov� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Shanon 0'Sh a y�p�
Commission N � tPR� O0 NOTARY PU L�dmmission No.(� �VJD V(S* yShanon O'SSTATE OFF ORIDA , NOTARY PU IC
STATE OFF RIDA
INCE 1�10� Expires 9/12/2022 y Comm#GG2 038
Revised 07/15/2014 Nee ie► Expires 9/1212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS ',
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