HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7�]
Date: 4 12. 1 5 SCAN Permit Number: �L
BY ED
St. Lucie Count R E'C E IVE D
Building Permit Appyication APR 12 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVMNTLOCATION v:'
Address: 3100 N Highway Al A Apt 904
Commercial X
Legal Description: SANDS ON THE OCEAN -SECTION 1- UNIT 904
Property Tax lD #: 1425-606-0038-000-3
Site Plan Name: Norman W Stevenson
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF'WORK
Install 3 Accordion Shutters
Right Side: Left Side:
PERMITTING
St. Lucie County, FL
Residential
Lot No.
Block No.
JU I LIUI Id WUIK LU UC
�HVAC
Electric
U1
IUI II ICU
Gas Tank
Plumbing
UIIUCI UID PUIII I IL—OICLK dll
❑Gas Piping
Sprinklers
1 dpply:
_Shutters1:1
D Generator
Windows/Doors
E] Roof
0
Total Sq. Ft of Construction:
Cost of Construction: $ 5625.00
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height: 130'
OWNER/LESSEE:
CONTRACTOR: -
Name Norman W Stevenson
Name: Michael Heissenberg
Address: 3100 N Highway Al A Apt 904
Company: Expert Shutters
City: Ft Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-242-1157
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: callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP,,PLEMENTAL,CONNSTRUCTION116NN LAW INFORMATION,
DESIGNER/ENGINEER: _ Not Applicable
Name: WalterTillil
MORTGAGE COMPANY:
Name:
X Not Applicable
Add ress: 6355 NW 361h se
Address:
City: Virginia Gardens State: FL
Zip: 33168 Phone: 305871-1530
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
Not 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 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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The c rgQing instru�me^nt was acknowledge efore me
Ileth' _ day of OnC3 (C, In 20 _by
re
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was cknowledged before me
thisa�— day of Ma! L� 20 Lby
Michael Heissen4g Michael Heissenbefg
(Name of person acknowledging
,,) (Name of person acknowledging )
�Po�il.�13 WAS _� rva_;kv
ry Pytblic- State of F
(Signature of Notary
State of
Personally Known \/ OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced /
Commission No��� 7%a6b Se Commission a 7 yj (So-XTHER VIZZO
Np1�y ( $II:ATHER VI2Z0 1arty4�
n NOTARYPUBLIC qJ o, NOTARY PUBLIC
��:r�ampr nr, pl QRIDA
Revised 07/ 15/2014 " f, '� Comm# FF176266 Nslt Comm# FF176266
+cet9T- Expires 11/1312018 'r�+cei'V Expires 11/1312018
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