HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d c
Date:3 J In Permit Number: Y1 o3 ao O J
w
RECE1V'_7D 71AR 03 2917
.- Building Permit Application
Planning and Development Services
wwig�
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 IMPROVEIVIENT,�LOCATION
Address: 4200 N Al#311
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 311
Property Tax ID#: 1423-501-0115-000-9 Lot No.
Site Plan Name: Barbara J Castle Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIP.TION,OF WORK;
Install 1 Accordion Shutter and 1 Roll-Up Shutter
,b%T.RUCTIpN"INFORMATION -
Additional work to be Dertormed under t E permit—c ec a app y:
E1HVAC Gas Tank Gas Piping 2 Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3988.00 Utilities: Sewer 0Septic Building Height:
OWNEESSEE CONTRACTO R/L R
Name Barbara J Castle Name: Michael Heissenberg
Address:4200 N Al#311 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.513-628-5567 Zip Code: 34984 Fax:
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.
SUPPLEMENTAL CONSTRUCTIQN LIEN lA1N INFORMATION;:
DESIGNER/ENGINE ER: Not Applicable MORTGAGE COMPANY: x 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:
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 jobsite
before the first inspection. If you inte,d to obtain financing, consult with lender or an attorney before
commencing work or r rdin you/Notice of Commencement.
s
_Signature of Owner/Less;e/Ag-entp Signature of Contractor/License HolSTATE F FL r
F FL
C UNTOY OF ORIDA )� / LAC 1 COUNTSTATEOY OF ORIDA 5 , L L, C I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisk* day of LJ 20 17 by this day of fn611L� 20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Nam of person acknowledging)
(Signature of Notary ublic-State of FI i (Signature of Notary P lic-State of Florid )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
(' �r�gpRYgo HEATHER VIZZO gf+
.-f-
Commission N 7�Dw' NOTARY PUBLIC Commission No � _&MFATHER VIZZO
lr .. „ �, rS NOTARY PUBLIC
1�STATE OF F t ORI A C' ,. ��STATE OF FLORIDA
sr�,` 9ts� Expires 11/13/2018 £� 'S�Comm#FF176266
Revised 07/15/2014 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS