HomeMy WebLinkAboutBUILDING PERMIT APPLICATION i
ALL APPLICABLE INFO MUST BE COMPLEr&I@8APPLICATION TO BE ACCEPTED
Date: 12-/ (P'Z4 DFC Permit Number:
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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
PROPC?SEC3 CtPaVEN1TI.QCAT ' '�i
Address: 3200 N HIGHWAY AlA 102
Legal Description: SEA PALMS UNIT 102 AND PRO-RATA SHARE IN COMMON ELEMENTS
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Property Tax ID#- 1425-600-0002-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Castellar
Setbacks Front Back: X Right Side: Left Sidle:
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Install 2 accordion shutters
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Additional war to be performed under this permit—check'a apply*
❑HVACEi Gas Tank ❑Gas Pi W Doors
— — Piping —Shutters ❑ /
Electric . ❑ I
Windows/Doors
Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2,801.00 Utilities:Sewer Septic Building Height:
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Name Sigrid Castellar&Luis Gonzalez Name: Michael Heissenberg
Address:778 Heritage Dr. Company: Expert!Shutter Services
City: Weston State:FL Address: 668 SW�Whitmore Dr
Zip Code: 33326 Fax: City: Port Saint Lucie j State:FL
Phone No.954-205-9860 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: Callexper @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.
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S ,PLEMENTA �CQNSTRUCTIQN L`I LAUU INF JRIVI�ATIC? .3 '` r
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: i X Not Applicable
Name: Tilteco Inc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: i Phone: i
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FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: I Phone:
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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 restrictio 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.1
The following building permit applications are exempt from undergoing a full concurre,cy review:rod m 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.
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Signature of Owner essee/Contractor as nt for Owner Signature of Contras r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.L.cie
The for oing inst ument was acknowledged before me The forgoing instrument was acknowledged before me
this )F day of 20qLby this 15 day of_beQ. ,20 QI by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
oc � (LOA
(Signature of Notary Public-State of Florida) (Signat a of Notary' Public-State of Florida)
Personally Known X OR Produced Identification Personally Known xl OR Produced Identification
Type of Identification Produced Shanon O'Shea Type of Identification Prod uc ARYAsf Shanon O'Shea
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NOTARY P aQ i n NOTARY PUBLIC
Commission No. GG258038 � o�lqE OF FLORID! Commission No. Gc256036 0 , o ST,Pg6FagF FLORIDA
$ a.Comm#GG258032. ?Comm#GG258038
Mr!A1� 202• •�N�E 191� EX
pires 911212022
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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