HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETEM-RECEIVEDFOR APPLICATION TO BE ACCEPTED
Date: / �7� Co - Permit Number:
OCT Or Z021
St, i,wo Way
-- Permlm
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
,PRbP( E0MPROtIEMENT
Address: 4200 N HIGHWAY A1A 1116
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 1116 AND UND INTEREST IN COMMON ELEMENTS
Property Tax ID #: 1423-501-0184-000-3 Lot No.
Site Plan Name: Block No.
Project. Name: Harries j
I
Setbacks Front X Back: Right Side: X Left Side:
Install 2 roll shutters
11HVAC
❑ Electric
IVI Shutters
❑ Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,260.00
QWindows/Doors
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
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Name Stephen Hames
Name: Michael Heissenberg
Address: 4200 N A1A Apt 1116
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 860-978-8039
E-Mail:
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPI.EIUIENTALC4NS`REt1Cl`I{N
,« 11EN Lei
N11RM CAN: y
DESIGNER/ENGINEER: _ Not Applicable
Name: Tilteco Inc.
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip:331fi6 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 authorise 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 restriction's 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 inspects ou intend to obtain financing, consult with lender or an attorney before
commencing; work or r6cordink Yowr Notice a Commencement. _Ay
Signature of Owner/Lesseb/ContraEtor as
STATE OF FLORIDA
CO U NTY OF St. Lucie
The forgoing instrurpent was acknowledged before me
this day of 20 Eby
Michael Heissenbt4g
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
11/1 ^5 bbLz- 1ARYgssO'Shea
Commission No. O( �OTARY PUBLIC
0 o TATE OF FLORID)
a Comm# GG258038
°NCE 14P Expires 9/12/2022
Revised 07/15/2014
re
STATE OF FLORIDA
COUNTY OF St, II
er
The forgoing instrument was acknowledged efore me
this day of Sj pk ! , 2by
Michael Heissenberg
(Name of person acknowledging)
�'QbAAM014 n�l�
(Signature of Notary Public- State I of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
otp gsso
Commission No. o J.J�O.TARY PUBLIC
051 J )ATE OF FLORIDA
z Comm# GG258038
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