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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IbLFO MUST BE COMPLETED FOR PPLK 2Y O BE ACCEPTED I Date: ©oll BY Permit Number: (0 >t I UCiPC;nnnty RECEIVED Building Permit Application MAR 0 2 2018 Planning and Development Services ST, W91s Qqwnty, Parmltting 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: To Select from dropbox, click arrow at the end of line JPROPOSED IMPROVEMENT COCATION.:_ -, Address: 4100 N A1A #122 Legal Description: Treasure Cove Dunes Unit 122 Property Tax ID #: 1423-502-0005-000-8 Site Plan Name: Project Name: Redfern Setbacks Front Back: x Install 6 accordion shutters DHVAC L1 Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4,755.00 Right Side: Left Side: Ncuuu—uicLn all apShuNry. Gas Piping tters Sprinklers Generator S Ft. of First Floor: _ Utilities: Sewer E]Septic Lot No. Block No. ❑ Windows/Doors Roof = Roof pitch Building Height: ;OWNER/LESSEE: _ 'CONTRACTOR: �. _ _ Name N T Redfern Name: Michael Heissenberg Add ress:4100 N AlA#122 Company: Expert Shutter Services City: Fort Pierce State: FL Zip Code: 34949 - fax: Phone No. 772-492-8339 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 value of construction is 52500 or more, a RECORDED Notice of Commencement is required. rSUPPLEM�NTALµCOIVSTRU,G7i0N"L�E�N��ALU 1�FtJFt/�TCaN� '4w�; ';�- }rf°a _� ,� � � � � DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Thaw Inc. Name: Ad d reSS: 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 Court 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 pro . AN otice of Commencement must be recorded and posted on the jobsite before the first inspect If y inter}�to obtain financing, consult with Iet�er�r an attorney before commencin¢ work o c0 vour�Votice of Commencement. re as STATE OF FLORIDA STATE OF FLORIDA COUNTY Ok5 — COUNTY OF 7 F `.lr AQ The forgoing instrument was acknowledged,,��??efore me th day of-i�P.Y�I'lA(zrt�� 20 (t5by Michael Heissen4it (Name of person acknowledging The forgoing instrument was acknowledged before me thia� day of�,�%f'l.Cl3vVjc � 20 � by Michael Hsissenberg (Name of person acknowledging ) Public- State Personally Known OR Produced Identification Personally Kno n V OR Produced Identification Type of Identification Produced Type of Identification Produced r , Commission No.�6I L19 l (Se Commission No. i N `1Z (Seal) zo YAsg N11elgh Short of Hras Halelgh Short YNOTARYPUBLiC CA�so_nlnTdDVDIiF Revised 07/15/2014— Expires 5125/2021 FLORIDA Glulonod REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE yJy INITIALS