HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Permit Number: 1 '
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Building Permit Application
Planning and Development Services At,W910 County
Building and Code Regulation Division I &MItting
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: 5055 N HIGHWAY Al 906
Legal Description-.BRYN MAWR OCEAN TOWERS BUILDING C UNIT 906
Property Tax ID#: 1414-601-0155-010-3 Lot No.
Site Plan Name: Block No.
Project Name: McNeil
Setbacks Front X Back: Right Side: Left Side:
DETAILED I�E5CRIPTION C}F WaRK �
Install 1 accordion shutter
CONSTRUCI"IrC}N INFORIfA IQN rE
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AdcIfflonal work to be nerrormed under this permit -clieck all apply:
11HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing OSprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 818.00 Utilities:Sewer Septic Building Height:
CONTRA`CTt�R
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Name Gary McNeil Name: Michael Heissenberg
Address:12 Brotherton Ave Company: Expert Shutter Services
City: Rockaway State:NJ Address: 668 SW Whitmore Dr
Zip Code: 07866 Fax: City: Port Saint Lucie _State:FL
Phone No.973-722-6955 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.
SU6�PLEMEN /1L Ct7NSTRUffkm LI N=LAW iN �QRMATI4 ,N � _
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecelnc. 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 Notice of Commencement.
Signature of Owner 1_esse e/Contra?pAgent for Owner Signature of Contractor/License rer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Le.1e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this A tl day of I, 20 al by this�day of /;. 20 i ( by
Michael Heissenberg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
UA bAucq�_ b I �6jwlk b , RA-0-A
(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_.nv 'Shaven G'S„es
Commission No. ��� ' 01 Shanon O'Shea Commission No. 1 �`J ��� t s NOII,TARY PUBLIC
Q NOTARY PUBLI ETRTE OF FLORIDA
a STATE OF F LO RI DA �s� Comm*GG258038
=Comm#GG258038 Tres 022
Revised 07/15/2014 ONCE 19 1 Expires 9/12/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS