HomeMy WebLinkAboutBuilding Permit Application 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��//11^ Q
Date: Permit Number:Al VDT•I)91 I
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
PROPOSED 1[ti ;PROUEMEIT LC+CATtUN . 4,...
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Address: 4250 N HIGHWAY A1A 508
Legal Description: OCEAN HARBOR SOUTH BLDG A UNIT 508 AND UND INTEREST IN COMMON ELEMENTS
Property Tax ID#: 1423-501-0040-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Brown
Setbacks Front X Back: X Right Side: X Left Side:
} tl >^q 'S e t x t g
DETAILED D CRIPTION CIF WORK i3 ,y a{
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EPT
Install 2 accordion & 3 roll shutters
CONSTRUCTION 1NF RMATION .. ,._, .g E a ,
. , .._ ._ _..,.,. _ ..x ..
Additional work to be nertorme uncler this permit—check all apply:
,�n. .o.
EIHVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 13,697.00 Utilities:Cn Sewer OSeptic Building Height:
0WNER/LE8SEE x � 0. ONTR,tt 3R• ��
Name Katherine Brown Name: Michael Heissenberg
(Address:100 PROMENADE Company: Expert Shutter Services
!City. Beaconsfield,Canada State:_ Address: 668 SW Whitmore Dr
Zip Code: QC H9W Fax: City: Port Saint Lucie State:FL
,Phone No.514-630-8184 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.
Sl 'PL1I�IEN_ VC7�ST2 �TIONPI.IEI CAW INFIRMATaN F �� z �;. � �
p MORTGAGE COMPANY: _Not Applicable
i DESIGNER/ENGINEER: _Not Applicable x
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:
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 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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as t for Owner Signature of Contractor/License Holder
'STATE OF FLORIDA STATE OF FLORIDA
'COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this�day of 20 �by this A day of 20 2L by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Nota Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
tPRY gs Taylor (�jj (�(]�Q
Commission No. ° sin RY PUBLIC Commission No. ' M L L l ` /¢ I
x o STATE OF FLORIDA ARYgss 9°a�fo�O'Brien
a °�NOTARY PUBLIC
C omm#GG9 58999
Expires2/97/2024FLORIDA9
Comm#GG95899
Revised 07/15/2014 %��NCE 19�� Expires 2/17/20
24
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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