HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
baid!'7 `'n'C Permit Number: /9I rJyy'�«3�� o Ig��.j��
SUANNED RILEA [i 9 �EC..�3"
Build i*gLR6g1XdgApplicatio
NOV 2 7 2019
BY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X es2enit;4F1e County, FL
PERMIT APPLICATION FOR: Shutter
�.;NKUI'OSt6sIMPROVEMENT LOCATION:
Address: 4100 N HIGHWAY A1A 422
Legal Description: TREASURE COVE DUNES UNIT 422
PropertyTax ID q: 1423-502-0034-000-0
Site Plan Name:
Project Name: Corral
Setbacks Front Back: X
I Install 2 accordion shutters
_ Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION .INFORMATION:
AdclitionalworK t0 e e
OHVAC E]
orme un erthis permit—checka
Gas Tank OGas Piping
apply:"
Shutters
❑ Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S(7i--Ft.� of First Floor:
Cost of Construction: $ 1,448.00
Utilities:�Sewer 11 Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Oscar J Corral
Name: Michael Heissenberg
Address:2618 San Domingo St
Company: Expert Shutter Services
City: Coral Gables State: FL
Zip Code: 33134 Fax:
Phone No.786-271-4401
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.
'SUPPTRUCTION eLIEN,LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
n
x Not Applicable
Name: Tiltecoinc.
Name:
Ad d res5: 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
Signature of Owner/Lessee/Contra as Agent for Owner
STATE OF FLORA ���
COUNTY OF�
The orgoing instrum nt was acknowledge efore me
thi day of Q�f� - . 20`lby
s
Signature of Contractor/License r
r
STATE OF FLD'—J-,
COUNTY OF
The forgoing instrume tw/as acknowledged before me
this day of V . 20 A by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
,2m), oI r, UA'l AL U
AWA-
(Signature of Notary Pu lic- State of Florida ) (Signature of Notary Pub Ic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
(y y Sharon O'Shea
Commission No. a �d NOTARY PUBLI
��
hSTATE OF FLO'
Revised 07/15/2014
Personally Known _LZI OR Produced Identification
Type of Identification Produced
p A MY Shanon O'Shea
Commission No aS O O� cQ NOTARY PUBLIC
IDA MY
OF FLORI
Expires 9/12/2022
Expires 9/12/2022
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