HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(
Date: ' I—S• Permit Number:
Building Permit Application I MAY 13 2021
Planning and Development Services
Building and Code Regulation Division ST Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
EDIPRatEMiITCAT �� W&4` � k ... � �
Address: 4949 N HIGHWAY A1A 74
Legal Description: BREAKERS LANDING UNIT 74
Property Tax ID #: 1414-602-0018-000-1
Site Plan Name:
Project Name: Erched
Setbacks Front Back: X
Install 5 accordion shutters
RHVAC
❑ Electric
Right Side: Left Side:
0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,892.00
IVI Shutters
11 Generator
Sq. of First Floor: _
Utilities: LSewer E]Septic
Lot No.
Block No.
QWindows/Doors
Roof Roof pitch
Building Height:
.�
Name Nairn R Erched
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 2350 SW 138th Ave.
Address: 668 SW Whitmore Dr
City: Miami State: FL
Zip Code: 33175 Fax:
City: Port Saint Lucie State. FL
Phone No. 305-216-4913
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.
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: X_ Not Applicable
Name: Tiltecolna
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: Applicable
Name:
_Not
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 vour Notice of Commencement.
Signature of Owner/Lessee/Contract Agent for Owner Signature of Contractof/License Hold
STATE OF FLORIDA
CO U NTY OF St. Lucie
The for oing instru s cknowledge before me
this day of 20 y
Michael Heissenbi rg
(Name of person acknowledging)
L\Nt -
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Taylor O'Brien
Commission No. �, NOTF�UBLIC
; STATE OF FLORIDA
Revised 07/15/2014 y'rN^E� Expires 2117
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrum n wa acknowledged before me
�
this day of ( 20 a by
Michael Heissenberg
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. QQIMWAR Ae�p#lor O'Brien
0 NOTARY PUBLIC
O� �n..�w�c nc CI 11DIr1A
QME W'D Expires 2/17/2024
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