HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIti'H JAN 13 2917
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 X Residential
PERMIT APPLICATION FOR: Shutter
PRO r
POSED 1MPROUEMENT LOCATION
Address: 4400 N Ala Apt 501
Legal Description: PARAGON UNIT 5N
Property Tax ID#: 1423-610-0006-000-7 Lot No.
Site Plan Name: Alan Brenner Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION 01=WORK w
�t . ... .... ...a . .. .�o..r. ,. .r.. ._ �.. .
Install 1 Accordion Shutter
CQNSTRUCTtUN INF0RMATt N
Additional
or to a e forme., .-
❑ un er t is permit—c ec ,a apply:
Tank EiGas Gas Piping Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3065.00 Utilities: Sewer 1:1Septic Building Height: 110'
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C+UIINER/LESSirEHCOtVTRACTUR
Name Alan Brenner Name: Michael Heissenberg
Address:4400 N Ala Apt 501 Company: Expert Shutters
City: Ft Pierce State:FL. Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.313-600-0102 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915 j
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
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If value of construction is$2500,0
r more,a RECORDED Notice of Commencement is required.
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S PPLEIVIENTAI C00(k CTIQN LI NF lA1lN iNFORMATIQN g
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: XX Not Applicable
Name: walterTillit Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33168 Phone: 305.871.1530 Zip: Phone: I
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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 for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you inte9d to obtain financing, consult with lender or an attorney before
commencing wopk-m-,recofeling yourAotice of Commencement.
s
_ Signature Signature of Owner Les ee/Agent of Contr or/L ense Holde
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STATE OF FLORIDA L / STATE OF FLORIDA /
COUNTY OF _ T-, L C/-C COUNTY OF � y Cl
The jj�?�ng instrument was acknowledged before me The�rgo ng instrument was acknowledged before me
this `I 'cday of (� 20 1-7 by this fF�day of — 01 20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
cwo'�-
/'. qa't—"
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_ Q�..
(Signature of Notary P lic-State of I -)) (Signature of Notary Publi -State rida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
I/) I HEAL- �ri i0
t- 1 lo�45 -Y-4,Z p�T EiER VIZZO I i,+ _�°'���i:� f NOTARY PUBLIC
Commission N c,q s ( i Commission N �D ;;.( ea}.j
'ARY PUi3LIC �lCS 1 ' ti STATE C F�ORI
a:
+STATE OF FLORIDA �(• FF I762fi6
ws Comm#FF17n2nS s'ii' Expires 1 i/13/2
Revised07/15/2014 �ce��n Expires11113/2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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