HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO. BE ACCEPTED
Date: Permit Number:
i�. _ RECEIVED
� I
Building Permit Application MAY 12 2021
Planning and Development Services R;rmitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 3200 N Highway A1A 106
Legal Description: SEA PALMS UNIT 1.06 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0006-000-2 Lot No.
Site Plan Name: Boyle Block No.
Project Name: Boyle
Setbacks Front Back: x Right Side: x Left Side:
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install 2 accordion
Additional work to be nertormed under this permit — check all t= apply:
11HVAC L_j_I Gas Tank Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E] Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,117.00 Utilities:Sewer Septic Building Height:
Name Patrick J. Boyle & Lillian V. Boyle
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 3200 N Highway Al Apt 106
Address: 668 SW Whitmore Dr
City. Fort Pierce State: FL
City: Port Saint Lucie State: FL
Zip Code: 34949 Fax:
Phone No. 772-633-6584
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
State or County License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:_
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State:
Not Applicable
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencins work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor a ent for Owner
Signature of Contractor/License Holde"
STATE OF FLORIDA I p I!'1�
1,y11�1
STATE OF
OFFLORIDA �
COUNTY OF
COUNTY y�V
Sw n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
physical Pres n e r Online Notarization
� P ysical Presence or Online Notarization
this day of 202 J by
this day of 202t by
'l C
Name of person making statement. W
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Publi - State of Florida )Taylor O'Brien
(Signature of Notary Public- State of Florida )
Q(� om8Y Arcs OTARY PUBLIC
Commission No. C �i'11�
(} (�
Commission No. �-1 -1 I) Taylor O'Brien
9V OF FLORID
\JJiC�, STATE
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�17/2
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20