HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COM
Date:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
FOR APPLICATION TO BE ACCEPTED
Permit Number: �al 01'
RECEIVED
FEB 0 4 2022
St. Lucie County
Permitting
PERMIT -APPLICATION FOR:
Hurricane Shutters
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Address: 5155 N. Highway A1A #614
Property Tax ID #:1411-707-0028-000-7 Lot No.
Site Plan Name:
Project Name: Garcia
Install 2 accordion shutters
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping X Shutters
Block No.
(Affidavit required)
Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,066.00
Sq. Ft. of First Floor:
Utilities: —Sewer. —Septic Building Height:
Name Georgina Garcia &Elizabeth Garcia -Dave
Address: 5155 N Highway A1A Apt 614
city: Hutchinson Island State: EL
Zip Code: 34949 Fax:
Phone No. 954-303-7724 E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Drive
city: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No772-871-1915
E-Mail permits@expertshutters.com
State or County License 16572
IT vawe or construction is z5uu 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.
Name: Tilteco, Inc.
Address: 6355 NW 36thSt. #305
City: Virginia Gardens '
Zip: 33166 Phone
Applicable
State: FL
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: * Not Applicable
Name:
Address:
City:
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 permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict 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 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 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 commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor ~ gent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworp to (or affirm d) and subscribed before me of X. Physical Presence or Online Notarization
this day of 20da by
Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification Produced
0 C0 L4
(Signature of Notary Public- State of Florida)
Shanon O'Shea
�01AgyASs'
Commission No. GG258038 (Seal) oQ o� NOTARY PUBLIC
-STATE OF FLORIDA
c
y Comm# GG258038
s�NCE 19�� Expires 9/12/2022
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