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HomeMy WebLinkAboutbuilding Permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: • RECEIVED Building Permit Application NOV 0 a 2021 Planning and Development Services Building and Code Regulation Division Sty Luola County 2300 Virginia Avenue,Fort Pierce FL 34982 Permitting Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential PERMIT APPLICATION FOR: Shutter 3 �' `5 3 '+aak 4''w 7f x a 3x.r -d9E Address: 3200 N HIGHWAY A1A 607 Legal Description: SEA PALMS UNIT 607 AND PRO-RATA SHARE IN COMMON ELEMENTS Property Tax ID#: 1425-600-0053-000-6 Lot No. Site Plan Name: Block No. Project Name: Gerber Setbacks Front X Back: Right Side: Left Side: s- 3 Install 2 accordion shutters itiona wor to a er orme un er t is permit—c ec a app y: �HVAC �Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers E]Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 1,229.00 Utilities:cnSewer oSeptic Building Height: r la. t 4 CQNTRAE Name Kathleen Gerber Name: Michael Heissenberg Address: 13252 Bedford Ave Company: Expert Shutter Services City: Omaha State:NE Address: 668 SW Whitmore Dr Zip Code: 68164 Fax: City: Port Saint Lucie State:FL Phone No.402-681-0981 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. �4�'`4Mf .,�-E.y?*•�„ " ,p d ... 'b d+.sti'`1 sa & "� ! 3 Y ,'✓+GX'� - 1 Fs' b x �' �', �SUPP�I*MItTALCONSTRUTIQN LIEN lAW INORMATIQN „t ...-N 7 �: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable Name: TiltecoInc. 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. �✓ y S Signature of 04ne Lessee/Con for as Agent for Owner ignature of Contractor/License,�pffler STATE OF FLORIDA STATE OF FLORIDA CO U NTY O F St.Lucie COUNTY OF St.Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 by this day of 20 by Michael Heissen49 Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) &N,0 �� V`� awa4Qt, b(`1�i y� (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 Sharon O'She *10Shanon O'Shea Commission No. GG258038 Commission No. GG258038 )NOTARY PUBLIC NOTARY PUBL C STATE OF FLORIISTATE OF FLO IDAComm# NeE'19� Expires 9/12/2022 Revised 07/15/2014 VE 11V Expires 9/12/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS , IN DETAILS ON EXISTING WOOD' BUILDINGS FO HV. 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