HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: aOV�J 1lJ
=° ;a Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residi
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
REC
MAR 0 9 9"022
ST. Lucre County, , erinitting
�ntlal—�---_ ___--_--
PERMIT APPLICATION FOR: Hurricane Shutters
Roi?oSD,IM�?�oU�E�,�1iT`to�c14'icty: r ;� _ z� .3
Address: 7420 S OCEAN DR 512
Property Tax ID #: 3522-604-0025-000-7
Site Plan Name:
Project Name: Mora
Install 4 accordion shutters
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
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4,337.00
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer, —Septic Building Height:
®aIJUN�ER/ESSE�E •�� � '�
C� � ,.
Name Grace Mora & Matthew Pack
Name: Michael Heissenberg
Address:383 NE 96th St.
Company: Expert Shutter Services
city: Miami Shores State: FL
Address: 668 SW Whitmore Drive
city: Port Saint Lucie State: FL
Zip Code: 33138 Fax:
Phone No. 305-968-3760 E-
Zip Code: 34984 Fax:
Mail:
Phone No772-871-1915
E-Mail Permits@expertshutters.com
Fill in fee simple Title Holder on next page (if different
State or County License 16572
from the Owner listed above)
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.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tilteco, Inc.
Address: 6355 NW 36th St. #305
City: Virginia Gardens
Zip: 33166 Phone,
State: FL
FEE SIMPLE TITLE HOLDER: * Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
* Not Applicable
State:
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 attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ essee/Contrac as Agent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to (or affirm and subscribed before me of x Physical Presence or Online Notarization
,-
this � day of 20A by
Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification
Type./of Identification Produced
o i
(Signature of Notary Public- State of Florida)
Commission No. GG258038 (Seal) Wy4 pShanon O'Shea
NOTARY PUBLIC
cSTATE OF FLORIDA
i"Ves
2Comm# GG258038
lv EX ires 9/12/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev 5/zu/z1