HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONz.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLIC ON TO BE ACCEPTED
Date: �f I BYNE rermit Number:
s - _,� � oou St. Lucie County �EC,� t"r D
Building Permit Application MAR 0 9 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 5047 N Al a Apt 502
Legal Description: ATLANTIC VIEW BEACH CLUB CONDOMINIUM #1 UNIT 502
Property Tax ID #: 1414-610-0020-000-3
Site Plan Name: Donna M St Pierre
Project Name:
Setbacks Fr
Back:
Install 3 Accordion Shutters
Right Side: Left Side:
Lot No.
Block No.
onaiworxrooe
HVAC
errormea
Gas Tank
unaermispermn—cnecxall
Gas Piping
apply:
_Shutters
❑Windows/Doors
Electric
0
Plumbing
[]Sprinklers
ElGenerator
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 4394.00
S Ft. of First Floor: _
utilities Sewer OSeptic
Building Height: 1TO,
SEE E :OWNR/LE
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CONTf2ACT®R ��¢r
.h: �mT��RA �� iF;•�.
Name Donna M St Pierre
Name: Michael Heisenberg
Address:5047 N Ala Apt 502
Company: Expert Shutters
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.401-487-2045
Address: 668 SW Whitmore Dr
City: Port St 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.
ASUPPLPLEMENT t GONSTRIJCTION 1IE' LAW tIVFORM,ATLON:
DESIGNER/ENGINEER: _ Not Applicable
Name: Tllecu,lnc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 Nw 36m s1 a305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone: WrWl-1530
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 intend to obtain financing, consult with lender or an attorneybefore
_ Signature of Owner/
STATE OF FLORIDA 5-� L U /' I e STATE OF COUNTY OF FLORIDA Luc
c r n
COUNTY OF 1. �}� l� -C.
The fi�1r oIng instrument was acknowledged before me
this May of iV1Q is � 20 Lby
Michael
acknowledging )
(Signature of Notary Public- State of
Personally Known X
Type of Identification
Commission
Revised 07/15/2014
OR Produced Identification
NOTARY" PUBLIC
k i ATE OP FLORI
Canm;t FF1762E6
The rWing instrument was j c nowledged before me
this — day of 0116 %�, ✓� , 20 11 by
Michel Heissenbeig
(Name of person a know[edgingg))
V ,
(Signature of Notary Public- State of Flo
Personally Known X OR Produced Identification
Type of Identification Produced
.-��'�� EATHER VIZZO
Commission No. 5A I
_���,��., OTARY PUBLIC
TS I,a iy+'TATE OF FLORI!
Expires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS