HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE,ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application DEC 2 3 2019
Planning and Development Services
Building and Code Regulation Division Sr. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-2553 Fax:(772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Legal DescriptionA r,:,�.x [�Qo1ln nrori� n m'�(l i ilm -Lt-unit/,qi)b Gm L)06 Nam Ln 6)MfY)0h
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Property Tax ID#: �rJb2- ? -% Y�'{ Lot No.
Site Plan Name: Block No.
Project Name: _.�o
Setbacks Front Back: Right Side: Left Side:
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neck all that appy:
HVAC L_J Gas Tank ❑Gas Piping W_Shutters a Windows/Doors
QElectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ Utilities Cn Sewer F]Septic Building Height:
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Name 10 ) .M Name: Michael Heissenberg
Address:11RM `J• 0CQ Yl 'b .`m d?J Company: Expert Shutter Services
City: hoc ,n p 0Q( Xn- State:15L Address: 668 SW Whitmore Dr i
Zip Code:' fy Fax: City: Fort Saint Lucie State:FL
Phone No.5LQI-UL4L4-Cjb22- 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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SUPPLEMENTAL CONSTRUCTION UEN LA11U INFORM;4TION `
r
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable��
Name: Tilcecolnc. Name:
Address:6355 Nw 36th st suite 3os 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 'o site
before the first inspection. If you i tend to obtain financing, consult with lender or n attorney ore
commencing work or_rpcordingygur Notice of Commencement.
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Signature of Owner/Lessee/ContrlactorakA7 for Owner Signature of Contractor/License Holder
STATE OF FLO A STATE OF FLDA Q
COUNTY OF l (' Q COUNTY OF , �,1�(�I
The f rgoing instrum t w s acknowledged before me The forgoing instru ent was acknowledg before me
this ay of 20 Eby thisr� day of 20 &by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
akL& , b l 60(5�_ w4i)A0( "
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known � Z OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Shanon 'Shea (�/
Commission N (Se aRYq�s NOTARY � pission N . X03 (Seal)
Q �p1AR q s Shanon O'Shea
9+STATE O FLORIDA a� °° NOTARY PUBLI
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WINCE 190 Expires 9/1212022 ?COmm#GG
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Revised 07/15/2014 �'ycElPires 9/ 2/2n3
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS