HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE A
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COUNTY
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i in ermi ica ion
Planning
Buildingand Code Regulat1.0 IVISIO n
2300 Vj`rginia
Phone : ( 772 ) 462 - 1553 Faxv, 772 462,.. 1578 0 rcia Residential X
PERMIT PE , er
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Addressa 906 SHOREWINDS
P ro pe rt Tax ID i
1425- 701 -0013-000-4
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Name
R 'I'chard BJohnswi
Michael Heissenberg
panne .
MR
Address .
Vero Beach Company ,
City . ate : FL Address : 668
Zip Code ,*
- - Fay . Port St . Lucie
State ,. FL
Phone No ,, 772-559-9677 34 9 84
- ip Code . Fa x :
E- Mail : Phone No 772-871 - 1915
F*111 in i
Holder ors nextpermits@ex its
from the Owner histed S ate or Coun 16572
ty License
If value of construction is $2500 or more, a RECORDED Nofice of Commencement is required ,
If value of HVAC is $ 7,500 r more RECORDED
S �?��'1�[ � i' � �1C7"I �3N- --------- i�! '�t3Rl�I��TIQ
DESIGN ER/ ENG IN EER : _ Not Applica ble MORTGAGE COMPANY : � X Not Applicable
Name : T, �ce� Inc, ._
Ad d re s s : 6355 N W 36th St Suite 305 Name :
Citys Virginia Gardens Address :
State : FL C It Y :
Zi p ; 33 166 Phone : State :
Zi P � Phone ,,
FEE SIMPLE TITLE HOLDER : x Name Not Applicable BONDING CONIPANY : Not App licable
: N a m e :
Address :
C lt y : Address :
City *
Zip ; Phone : Zipir
: � phone :
1 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 thesub ect structure
which is in conflict with any applicable Home Owners Assocr and covenants that may restrict or prohibit such
ation rules, bylaws or
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 intend t obtain financing, consult with lender or an attorn �i before
commencin wor k o our No � e of Commencement .
do
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Signature of Owner/Lessee/Contractor as Agent 6r Owner Signature of Contractor/License Holder S
STATE OF FLORIDA COUNTY OF ILrI � STATE OF FLORIDA
� v� � COUNTY OF
The for ing instr eid t w s know ledged befo re me The f-� r oing instrym t wa acknowledged before me
this day of � � 20 by this Liz day of J 20
Y
Michaei HeissenbErg
Michael Hsissenberg
( Name of person acknowledging ) ( Name of person acknowledging )
(Signature of -Epp
Notary Public- State of Florida ) ( Signature of Notary Public- State of Florida )
Personally Known )C_/ OR Produced Identification Personal )
Type of Identification Produ y Known ( "' � OR Produced Identification
ced
Type of Identification Produced
Y ,4,9 aylor o,a rien � Taylor rren
Commission No. "�Jlla � N
Ass
q$� N PU BLIC Commission No , , ` oc NOTfNXqUBLIC
� i o STATE :1)F ORIDA 7?� STATE OF FLORIDA
W NCE I
9 r 2 Co
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y ��� � Comm# GG958999
Revised 07/ 15 /2014 • � Expires 2/ 17/2p24 'Nce � Expires 2/ 17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW MANGROVE
REVIEW REVIEW REVIEWDATE __ REVIEW
CO M P LETE
INITIA
LS
NOTICE - OF COMMENCEMENT
Permit No . Tax Fo lio No . 1425-7 01 -0 0 1 3- 000-4
State of Florida County of St . Lucie
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713 , lorida Statutes,
the followinginformation is provided in this Notice of Commencement.
Legal Description of Property : ( and street address if avaiIable ) :
Co ral C ove Bea c h - Section O ne- BL K I WLY 79 , 3 FT of Lot 12 And El y 15 . 9 FT Of Lot 13 And S ly 10 FT Of Vac Al I ey Ad O n N (906 S horewl nds D R )
General description of improvement :,., installation Of Hurricane Shutters
Owne r i n f ormati on or Lessee i n f orm at i on if th e Lessee contra cted f or the im provem ent :
Name Richard B . Johnson
Address c. ) nB gh rewinds Dr
Interest in property : Owner
Name and address of fee simple titleholder ( if different from Owner listed above) :
Contractor ' s Name : Expert Shutter Services , Inc
Contractor Address ...._668 SW Whitmore Dr. . Port St Lucie 34984 Phone Number -, ( 772 ) 871 - 1915 _
Surety ( if applicable, a copy of the payment bond is attached) : Amount of bond : $
Name and address : Phone number :
Lender Name : Phone Number :
Lender' s address : A p � u)
� X rn Z N
Persons within the State of Florida designated by Owner upon whom notices or other documents may lbe served as provided by o o a C _
713 ( 1 ) (a ) 7., Florida Statutes :
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g' m v,
Name : _ Phone Number : d, w m� n 3
� Address : o v , O =+
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In addition to himself or herself, Owner designates of mto receive a c o o ;U
Lienor s Notice as provided in Section 71 '3 . ( 1 ) b ) , Florida Statutes. �
� W o
Phone number of person or entity designated by owner: o � �
0 o m
0
Expiration date of notice of commencement : { the expiration date may not be before the completion of construction and final pad V0
contractor, but wi l l be 1 yea r f ro m the d ate of reco rd i ng u n l ess a d iff erent date is specif ied ) 0
c
n �
WARNING TO OWNER : ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE O
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I , SECTION 713 - 13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TV �
IMPROVEMENTS TO YOUR PROPERTY . A NOTICE OF CON NIENCENIENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEF 1
INSPECTION . IF YOU INTEND TO OBI'AIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING \A
RECORDING YOUR Nn. TICF OF COMMENCEMENT .
Under penalty of perjury, I declare th at I ha ve read the foregoing not ice of commencement and that the facts stated therein are
my knowledge and belief.
( Signature of Owner o essee , or Owner' s or Lessee ' s Authorized Off*lcer/ Director/Partner/ Managet-
( Signatory' s Title/Off ice)
The foregoing instrument was acknowledged before me this day of�1 ; , 2p�
By iG�'A �'�1 ( ) I c�� as _ �1 ���' _ fo r
Name of Person Type of authority ( e . g . officer, trustee) Party on behalf of whom instrument was execut d
� 1 �,, tiP Shanon O'Shea
� o NOTARY PUBLIC ersonally known or produced Identification
( Signature of Notary Public - State of Florida )
( Print , Type, or Stamp Commissioned Name of No STATE OF F L OR I DA
x ` Comm# G C'dj *7 5 113 3 8 Type °f Identification produced
s �' E 19�� Expires 9/ 12/2022