HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 15 "1 Permit Number:
RECEIV77D MAY 24 2017
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:c�,1—k—�—C�S
�ROPCI5E� IMPROVEMENT LiJ�CATICN' a
Address: 902 SHORE WINDS DR
Legal Description: CORAL COVE BEACH -SECTION ONE BLK 1 W 51 FT OF LOT 14 AND E 28 FT OF LOT 15 AND SLY 10 FT VAC ALLEY ADJ ON N
Property Tax ID #: 1425-701-0015-000-8
Site Plan Name: FLORIDA BEACH AND GOF RETREATS LLC
Proiect Name: BILL WOODCOCK
Lot No.
Block No.
Setbacks Front x
Back: x Right Side: x
Left Side: x
DIETAILED DESCRIPTION OF WORK'
x
r:
Rt
INSTALLN ACCORDIAN SHUTTERS AND 2 STORM PANEL OPENINGS
E1HVAC
11 Electric
IVI Shutters
0 Plumbing Sprinklers Generator Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5,665.00
S Ft. of First Floor: _
Utilities:Sewer Septic
QWindows/Doors
Roof
Building Height: 25,
01NNER#/LESSEE
xr r
CONTRACTOR
Name Florida Beach and Golf Retreats LLC
Name: Michael Heissenberg
Address: 7128 Maidstone Dr
Company: Expert Shutters
668 SW Whitmore Dr
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-631-1977
E-Mail:
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
GNER/ENGINEER: _ Not Applicable
Name: WalterTillit
Address: 6355 NW 36th St
City: Virginia Gardens
Zip: 33168 Phone: 305-871-1530
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State: FL
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 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 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 intey(d to obtain financing, consult with 17,1d e'r'o�r`a' attorney before
commencing work -or -ref --ftiz vour/Notice of Commencement.1
Owner/Less ee/,Contr`9ctor6Ys_A e t f�r Owner I Signature o1'ContractorA4 e
STATE OF FLORIDA l_ 1 I �l� STATE OF FLORIDA / � f�
COUNTY OF �jT (�U COUNTY OF
The forgoing instrument was acknowledged before me The fo%yiing instrument was acknowledged before me
this 11 relay of 20 _nby this -day of L 20 by
M Cka � ( 44e I'J. t) Iel-a ►` �f
(Name of person acknowledging) J (Name of person acknowledging)
1�4n b"41 2�iV `
(Signature of Notary Pu ic- State of 'My
Personally Known OR Produced Identification
Type of Identification Produced
V `
(Signature of Notary Pub ic- State of r' a )
Personally Known OR Produced Identification
Type of Identification Produced
Commission NA-t' Ma6lo kggy,�sICommission N4=o
@�
NOTARY PUBLIC
Uff►i.THER VIZZO
NOTARY PUBLIC
`'* Comm# FF176266" '@ Comm# FF176266
Revised 07/15/2014 s1%CEW"%% Expires 11/13/2018 s��ce19�� Expires 11/13/2018
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