The URL can be used to link to this page

Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMVPtIMFOR APPLICATION TO BE ACCEPTED Date: 1�' ' � Permit Number: • 9 P01111 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 I � PERMIT APPLICATION FOR: Shutter PRF ?5EQ �iPRfVEM T LOCAT) ?N� a� Address: 4250 N HIGHWAYA1A 1001 Legal Description: OCEAN HARBOR SOUTH BLDG A UNIT 1001 AND UND INTEREST IN COMMON ELEMENTS Property Tax ID#: 1423-501-0073-000-2 Lot No. Site Plan Name: Block No. Project Name: Lewis Setbacks Front X Back: X Right Side: X Left Side: III � 'AIL D C3E �IP K,�TIOI� WOR � s � j, » '2ygq R Install 3 crank roll shutters x �1STUCT1,CtN l ,lORVATION ACIClitional work to be errormed under this permit—check a app y: 11HVAC Gas Tank Gas Piping Shufters ❑Windows/Doors Electric 0 Plumbing Sprinklers ❑Generator) ❑ Roof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: 5,297.00 ❑ Cost of Construction:$ Utilities: Sewer _i eptic Bui Iding Height: n ER/ mil 4 T E. { NTRACTC r �z �� , �Name Waldina S Lewis(TR) Name: Michael.Heissenberg Address:8192 SW Marin Dr Company: Expertl Shutter Services City: Stuart State:FL Address: 668 SWI Whitmore Dr I ' Zip Code: 34997 Fax: City: Port Saint Lucie State:FL Phone No.561-685-5134 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$2500 or more,a RECORDED Notice of Commencement is required. I i SUpP,LEMEN��1L�CO,NS�;RUCTION LIED LAIN,,INI=t3RMr4TI0N Y 1#';d`„4�, a�£k�1""s�'��'a'��''.r'4M�',-d" ,�?`N,�`�.5��"�,_ .«.;,$, x„�;,'4,'��'i,• . ..,. :.. ;.. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Tiltecolnc. Name: Address:6355 NW 36th St Suite305 Address: City: Virginia Gardens State: FL City: State: Zip: 33166 Phone: Zip: I Phone: ' I I FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I 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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. s Signature of Owner/Lessee/ ontractor as A for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF St.Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of �)eC• 20 p2Lby this J day of DIr'e• ,20 d I by Michael'Heissenb�,g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) &b&i , b(%*,,-- &ft�k b t�'� (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known x OR Produced Identification Personally Known xi OR Produced Identification Type of Identification Produced AS Type of Identification Produced eY Shanon O'Shea �1P PS aQ� NOTARY PUBLIC Commission No. GG258038 Q Nq TARY PUBLIC Commission No. GG258038 � '—'AIM OF FLORIDA 0 0 OF FLORIDA �?Comm#GG258038 Comm#GG258038 •'NO 19 Expires Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW (REVIEW REVIEW DATE COMPLETE INITIALS � I �I