HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 5. 11. Q'` Permit Number:
Sp RECEIVED
Building Permit Application MAY 1 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
Address: 3200 N HIGHWAY A1A 506
Legal Description: SEA PALMS UNIT 506 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0042-000-6
Site Plan Name:
Project Name: Hambleton
Setbacks Front Back: X
Install 1 accordion shutter
Right Side: Left Side:
Lot No.
Block No.
Additional work to be ertormed under this permit —check all that apply:
11HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
ElElectric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1,881.00 Utilities:Sewer Septic. Building Height:
- x
O.aIW ✓� as 'ohs "'eRF11 fm„
Name William & Iliana Hambleton
Name: Michael Heissenberg
Address: 14121 Lake Candlewood Ct
Company: Expert Shutter Services
City: Miami Lakes State: FL
Address: 668 SW Whitmore Dr
Zip Code: 33014 Fax:
City: Port Saint Lucie State: FL
Phone No. 772-462-6676
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
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
it value or construction is W!= or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Tiltecolnc.
Name:
Address:
Address: 6355 NW 36th St Suite 305
City: State:
City: Virginia Gardens State: Fl-
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
commencine work or recordine vour Notice of Commencement.
Signature of Own er/Lessee/Contract:Pot for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
The f ofng fnstru t y� cknowfedg before me
this day of U 20 2by
Michael Heissenb¢ g
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(STaoor O'Brien
)- NOTARY PUBLIC
Comm# GG958999
Expires 2/17/2024
Signature of Contractor/License H
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing ins tru�nln n wa acknowledged before me
this day of Y 20 71k by
Michael Heissenberg
(Name of person acknowledging)
Q�)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No `1 �Z I) Taylor O'Brien
NOTARY PUBLIC
Comm# GG958999
Expires 2/17/202
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