HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O �r-O
Date �U SCANNED
Permit Number
BY
St. Lucie Ea t � �C'�
® cie County
Building Permit Application APR 12 2A17
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT APPLICATION FOR: Shutter
Address: 4400 N Highway Al A #4N
Legal Description: PARAGON UNIT 4N
Property Tax ID #: 1423-610-0004-000-3
Site Plan Name: Robert E Warburton
Project Name:
Setbacks Front Back:
Install 1 Accordion Shutter
PERMITTING
St. Lucie County, FL
Residential
r_ e
Lot No.
Block No.
Right Side: Left Side:
HVAC
E]
Gas Tank
❑Gas Piping
ZShutters
11 Windows/Doors
Electric
El
Plumbing
Sprinklers
0
Generator
E]Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 3194.00
S Ft. of First Floor: _
Utilities:cn Sewer D Septic
Building Height: 130'
=OWNER/LESSEE. -.
CONTRAGTOR.4
Name Robert E Warburton
Name: Michael Heissenberg
Address: 4400 N Highway Al A #4N
Company: Expert Shutters
City: Ft Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-801-5235
Address: 668 SW Whitmore
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
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: callexpertgaol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,:;
_
DESIGNER/ENGINEER: _ Not Applicable
Name: Waller Tillil
MORTGAGE COMPANY:_
Name:
Not Applicable
Address: sass Nw 36th St
Address:
City: Virginia Gardens State: FL
Zip: 33168 Phone: 305-871.1530
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
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 Count yy 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 inspecti you intend to tain financing, consult with lende�or an attorney efore
commencing work record our Not of Commencement. / 91
—Signature of Owner/
STATE OF FLORIDA <Z)STATE OF FLORIDA < �/
COUNTY OF ,r Lu G � COUNTY OF
The forgoing instrument was acknowledged before me The forging instrument was Iacknowledged before me.
this��dayof'MQ.l i,k , 20 "by thisoeI"dayof MbMcs ,20 Lby
Michael Heissenbcrg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging )
V
State ofl
Personally Known \/ OR Produced Identification
Type of Identification Produced
Commission No� '�c�a�I -�iiyt
SaD HEATHER VIM
(Signature of Notary Publi State of Florida )
Personally Known OR Produced Identification
Type of Identification ProlIdu��cl1ed
Commission NcSrn6a 'qogg
a J NOTARY PUBLIC
lA a } I� STATE OF FLORII
Revised 07/15/2014 �sr5c Expires 11/131201g Jiy� Expiresrll/13/20'
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ZONING
SUPERVISOR
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MANGROVE
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DATE
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INITIALS