HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED DO' ?
Date: 0 • 9. �`'ANNE® Permit Numb r: Q C�
i� .,..4,.. BY RECEIVto
St. Lucief:nlinty
Building Permit Application AUG 2 8 Zpig
Planning and Development Services Permitting
Building and Code Regulation Division Department
2300 Virginia Avenue, Fort Pierce FL 34982
St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resi en i
PERMIT APPLICATION FOR: Shutter
w11:tul®i,.4MenIT, m IGINASIT,ISarrr111ITairar®iA n
Address: 4400 N. Hwy A1A#3S
Legal Description: PARAGON UNIT 3S (OR 4
Property Tax ID #: 1423-610-0003-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Ruggieri
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
install 1 accordion shutter
❑HVAC ❑ Gas Tank
❑Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,628.00
trus permit —cnecK all apply:
❑Gas Piping _Shutters
[]Sprinklers ❑Generator
S Ft. of First Floor: _
Utilities:Sewer ❑Septic
❑ Windows/Doors
❑ Roof ❑ Roof pitch
Building Height:
OWNER/LESSEE:
.3.
CONTRACTOR:
Name Mark Ruggieri
Name: Michael Heissenberg
Address:1 Eagles Nest
Company: Expert Shutter Services
City: Winter Haven State: FL
Zip Code: 33881 Fax:
Phone No. 863-207-4969
Address: 668 SW Whitmore Or
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
IT value of construction is SZ500 or more, a RECORDED Notice of Commencement is required.
SUPP,LEMENTAI RUN£STR.iIGTI®iULtN �AAitNC}RMAIION;`
n`!4
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Tiltecolnc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X
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 insp If you int nd to obtain financing, consult with lender or an attorney before
commencini= wor r re a vot&Notice of Commencement. — 1 - //
STATE OF FLORIDA '43�_ Lug l� STATE OF FLORIDA
COUNTY OF COUNTY OF (J1/L 1
T or>;oiNng instr,Ument�was acknowledged before me
t' 7--73day of 1 A-01A.\' t 20 aby
Michael Heissenoerg
(Name of perso
V ✓"
of
Personally Known \1 OR Produced Identification
Type of Identification Produced
Commission No. �al
i r �W wry Public Ste
a ! J ` Heather Vizzo
ri
Revised 07/15/2014
The forging instrulnent was acknowledged before me
thin ) z7ay of \ t, iV , 20 � � by
Michael Hsissenberg
(Name of person a kn ledging I
V '
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
of Floriea /m�mi�sssiion No.
Notar)[beal) State of Florida
Heather Vizzo
My Commission GG 262653
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS