HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: `I d S10S 15
RECEIVED 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: GjY1l�-}-i-GY�
PROPQSED IMPROVEMENT LQ.CATIi?V`g
Address: 904 SHORE WINDS DR
Legal Description: CORAL COVE BEACH -SECTION ONE BLK 1 WLY 64.1 FT OF LOT 13 AND ELY 29 FT LOT 14 AND SLY 10 FT VAC ALLEY ADJ ON N
Property Tax ID #: 1425-701-0014-000-1
Site Plan Name: FLORIDA BEACH AND GOF RETREATS LLC
Project Name: BILL WOODCOCK
Setbacks Front x Back: x Right Side: x Left Side: x
DETAILED DESCRIPTION OF WaRK.
INSTALL 12 ACCORDIAN SHUTTERS AND 5 STORM PANEL OPENINGS
Lot No.
Block No.
CONSTRUCTION IN°FORMATIO(U
�.
.
Additional work to e nertormea unclerthis
permit— check
all
apply:
11HVAC
Gas Tank
[]Gas Piping
Shutters
Q
Windows/Doors
11 Electric ❑ Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 5,883.00
Utilities:
Sewer OSeptic
Building Height: 25'
01NNR/LESSEE,CCiNTRACTC3R
_ _ _ .
Name Florida Beach and Golf Retreats LLC
Name: Michael Heissenberg
Address: 7128 Maidstone Dr
Company: Expert Shutters
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-631-1977
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
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.
StPPLEMENTAL
CONSTRUCTit?N LIEIVfLAVI/
INFQRIUTATION`
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: walterTillit
_
Name:
Address:
Address: 6355 NW 36th St
City: Virginia Gardens State: FL
City:
State:
Zip: 33168 Phone: 305-871-1530
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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 intepd to obtain financing, consult with lender or an attorney before
commencing work roree�c�r R vo otce of Commencement. '13'� ---) '17
Signature of Owner,
nt for Owner I Signature of Contractor/License Hol
STATE OF FLORIDA W CISTATE OF FLORIDA n
COUNTY OF -� COUNTY OF 5. L VCl-C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I r-day of 20 Eby this ��Jay of POOL tOL 20 by
Yl� > Cl (t He, 5911 b- ,m t' C k m i
(Name of person acknowledging) J (Name of person acknowledging)
2�L�
(Signature of Notary 7Pblic- State of Flori a
Personally Known OR Produced Identification
Type of Identification Produced
Commission Nei 1' �1' �o 00.14,0eagEATHER VIZZO
%, NOTARY PUBLIC
Revised 07/15/2014
Comm# FF176266
Expires 11/13/2018
't
(Signature of Notary Pub r' State of FI
Personally Known OR Produced Identification
Type of Identification Produced
Commission No-
.aI I i d66.,\1pAL4.,,,(S THER VIZZO
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF176266
Expires 11/13/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS