HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR AP6XICATTO BE ACCEPTED K
Date: A. ED
I I'1 By Permit Number: J
St. Lucie Count,
REcc-
Building Permit Application APR 12 2017
Planning and Development Services
Building and Lode Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION'"" =
Address: 3150 N Al 1001
Legal Description: TIARA TOWERS UNIT 1001-N
Property Tax ID #: 1425-610-0044-000-1
Site Plan Name: Moustafa A Elrashidi
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED,DESCRIPTION OF WORK
Install 1 Accordion Shutter
11HVAC LJGas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1038.00
mL —LIMLR du dppry:
Piping ✓ Shutters
nklers Generator
S Ft of of First Floor: _
Utilities: uSewer 0Septic
Lot No.
Block No.
Windows/Doors
Roof
Building Height: 130'
OWNER/LESSEE: t a
CONTRACTOR:
Name Moustafa A Elrashidi
Name: Michael Heissenberg
Address:3150 N A1A 1001
Company: Expert Shutters
City: Ft Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 595-4127
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.
SUPPLEMENTAL CONSTRUCTIONLIEN "LAW INFQRMATION-
._ . a
DESIGNER/ENGINEER: _ Not Applicable
Name: waiterTilrr
MORTGAGE COMPANY: X
Name:
Not Applicable
Add ress: 6355 NW 36Ih 51
Address:
City: Virginia Gardens State: FL
Zip: 33168 Phone: 305-671-1530
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 obtain financing, consult with lender or an attorney before
commencine wor r r ocdirm vour Wice of Commencement. —�� Al
_ Signature of Owner/ Lesse{/AgentSTATE OF f)
COUNTY OFORIDA I Luci
The forgoing instrument as acknowledged before me
thi�dayof/hOtIC.In .20LLby
person
(Signature of Notary P blic- State of Florida(/
Personally Known T OR Produced Identification
Type of Identification Produced
//
Commission Nen�i (Seal) HEATHER %
ptPRYqyo
NOTARY PU
__ 11 Revised 07/ 15/2014
STATE OF FLORIDA�)
COUNTY OF /
The forgoing instrument was acknowledged LL11,before me
thib 1-- dayof YYWL(dN .20 by
Michael Heissenberg
(Name of person acknowledging)
V
(Signature of Notary Publi - State of FI r'
Personally Known 7OR Produced Identification
Type of Identification Produced
�NbT �1' mmission D 6:� 12Q., HEATHER I
�o�- NOTARY PL
Comm# FF176266
Expires 11/13/2018
Comm# FF17(
Expires 11/1
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