HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: -1 Permit Number:
RECEI'D Jul- 081016*6
��..
- yN Building Permit Application yt ay 6
Planning and Development Services t106 coly
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: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 4100 N AlA432
Legal Description: TREASURE COVE DUNES UNIT 432
Property Tax ID #: 1423-502-0036-000-4
Site Plan Name:
Project Name: Bostinto
Setbacks Front x Back: x
Right Side
Left Side:
Lot No.
Block No.
DETAILED DECi2�tPTION OF WORK * > x = ,iew
II aa. _. ,y t .Z 4,+
Install 5 Accordian Shutters
.CCMTR'b:tbN'INFORMATION.:_ "r T "
UHVAC L==lGas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,152.00
Jennu—cnecrc du apply:
aas Piping Shutters
Sprinklers ElGenerator
S Ft. of First Floor: _
Utilities:Cn Sewer E] Septic
❑Windows/Doors
11 Roof = Roof pitch
Building Height:
OWNER/L"ESSEEc' ;r . -
CON 'A 0R:
Name Angeline M Bostinto
Name: Michael Heissenberg
Address:4100 N A1a Apt 432
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-801-3289
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
it vame or construction is pAsuu or more, a ntwitutu Notice oT commencement is required.
SUPPLEMENT/l GONSTRUCTIQiU'LIEN LAW INFORMATION; 1W
DESIGNER/ENGINEER: _ Not Applicable
Name: riteminc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 36th St suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
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 attorney before
commencing work or-rec- jam vour Notice of Commencement.
STATE OF FLORIDA STATE OF FLO DA
COUNTY OF l A l C--A COUNTY OF F i ALL a'-e-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -a day11 of �h 1, 20 CLby this 4aday of \ il- .1A, 20 ('l by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
i
(Signature of I lot ry Public- State of Florida ) (Si ature of Not ry -ub/lic- State of Florida )
Personally Known '✓ OR Produced Identification Personally Known" OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Nc— /L I�t �4MSTAT
Halelgh Rua efllommission NoG�� t (Seallalelgh Russell
NOTARY PU LIC
NOTARY PUBLIC
Comm.R GGt08399 STATE OF FLORIDi
Revised 07/15/2014- - - t Expires 5/25/2021 Comrn*GG108399
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