HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED , n
Date: Permit Number: Cal �C
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Building Permit Application 2G22
Planning and Development Services;�-�-r �.i��3Building and Code Regulation Division Commercial X Resi
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane Shutters a
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Address: 8800 S. Ocean Dr. 1403 (PH-0)
Property Tax ID #: 3535-603-0127-000-9 Lot No.
Site Plan Name: Block No.
Install 1 accordion shutter
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping X Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $4,372.00 Utilities: —Sewer _ Septic Building Height:
ONER�JLESSEE
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CONTRA `OR
Name Robert Nathan Hightower & Alicia Milagros Perez
Name: Michael Heissenbera
Address: 331 Cleveland ST Apt 1003
Company: Expert Shutter Services
Address: 668 SW Whitmore Drive
City: Clearwater State:FL
Zip Code:34957 Fax:
Phone No. 727-641-5485 E-
city: Port Saint Lucie State: FL
Zip Code: 34984. Fax:
Phone No772-871-1915
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permits@expertshutters.com
State or County License 16572
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable
Name: Tilteco, Inc.
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
i
Address: 6355 NW 36th St. #305
City: Virginia Gardens State: FL
Zip: 33166 Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: ''Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 pet mit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may1restrict or prohibit such
structure. Please consult with your Homeowners 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 concurren'cy review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessoryi,uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencine, work or rprording vnmr Notirp of f nmmnnramant
Signature of Owner/ Less ee/Contractp as Agent for Owner
i
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization
this I day of J(n{/� 20Zby
_
Michael Heissenberg
Name of person making statement.
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Personally Known x OR Produced Identification
Type f Identification Produced ,
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(Signature of Notary Public- State of Florida)
Commission No. GG256038 Shanon O'Shea
(Seal) �otPRYgsso� NOTAR PUBLIC
STATE OF FLORIDA
y Comm4# GG258038 !
•s��'CE 19�� Expires 9/12/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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