HomeMy WebLinkAboutBuilding Permit Application,m
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1 Date: �— Permit Number:
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Building Permit Application MAR 16 2022
Planning and Development Services
$t. Lucie County
Building and Code Regulation Division Commercial X ResidentlalPermitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane Shutters
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Address: 3200 N HIGHWAY A1A 1207
Property Tax ID #: 1425-600-0113-000-5
Site Plan Name:
Project Name: Hirsch
Install 1 roll shutter
New Electrical Meter Second Electrical Meter
(Affidavit required)
Additional work to be performed under this ipermit —check all that apply:
_Mechanical _ Gas Tank _;Gas Piping X Shutters _ Windows/Doors
_ Electric _ Plumbing _Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost'of Construction: $ 1,758.00 Utilities: —Sewer —Septic
Lot No.
Block No.
Building Height:
Pond
Pitch
OUIINER/LESSEE.,
CONTFtA(:TtJR.
Name Mitchell & Nancy Hirsch
Name: Michael Heissenberg
Address: 130 Cypress Pointe Ct.
Company: Expert Shutter Services
city: Medford State: ply
Address: 668 SW Whitmore Drive
City: Port Saint Lucie State: FL
Zip Code:11763 Fax:
Phone No. 516-446-8585 E-
Zip Code: 34984 Fax:
Phone No772-871-1915
Mail:
Fill in fee simple Title Holder on next page (if different
E-mail permits@expertshutters.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.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER. _Not
Applicable
MORTGAGE COMPANY: * Not Applicable
Name: Tilteco, Inc.
Name:
Address; 6355 NW 36th St. #305
Address:
City: Virginia Gardens
State: FL
City: State:
Zip: 33166 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City: -
Zip: Phone:
Zip: Phone:
uWNER/ CON tRACTOR 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,. C011SI_ilt.
with lender or an attornev before rnmmpnrina 1A,nrle nr rcrnrriinQ „ni it nin+i,.o „+ r,, ., , ,., 4-
Signature of Owner/ Lessee/Contractor gent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
I
Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization
this �day of2022by
I
Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification Produced
i
(Signature of Notary Public- State of Florida) Sharon O'Shea
�tpxy-4s
NOTARY PUBLIC
GG258036
Commission No. (Seal) a
o -+STATE OF FLORIDA
Comm# GG258038
`r"NCE 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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Rev 1