HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
a.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division 2 .
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X R€i(entf l
PERMIT APPLICATION FOR: .Shutter
PROPOSED 1l1t1PR40UEMENI LC?CATIfJN
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Address: 3200 N HIGHWAY A1A 502
Legal Description: SEA PALMS UNIT 502 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 1425-600-0038-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Kauffman
Setbacks Front Back: X Right Side: Left Side:
C3ETAILE'DDESCt�P710N�QP WfJRK �� � �ff -1
Install 1 crank roll & 1 accordion shutter
�CQtSTRUCTIC?N�INFORMAT)ON � 8
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..„3r`!.k rsh.?d'' 416
itiona wor to e e orme unclerthis permit-check all t=apply:
FHVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator El
Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,493.00 UtilitiesliSewer Septic Building Height:
OVIINER/LESSIcI=' t " r 5 sCONTRACTtR•
Name Robert H Kauffman JR) Name: Michael Heissenberg
Address.
10718 Dearborn St
Company.. Expert ert Shutter Services
City: Crown Point State:IN Address: 668 SW Whitmore Dr
Zip Code: 46307 Fax: City: Port Saint Lucie State:FL
Phone No.219-776-3787 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.
W3 �. .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiiteco 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:
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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our N tice of Commencement.
s
Signature of Owner/Lessee/Contractor gent for Owner Signature of Cont actor icense Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The fq r�o'ing instrum t wa acknowledged before me The forgoing instrument was acknowledged before me
this 1/�day of .20�by this-M day of 20 IL by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Ta for O'Brien
Commission No. .yAsso N1S� �'PUBLIC Commission No. °'1"1 VNReal$aylor O'Brien
o9 NOTARY•PUBLIC
o STATE OF FLORIDA
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Revised 07/15/2014 re=��� Expires 2/17/2024
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19�� Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
COMPLETE
INITIALS