HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONIl
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: -i 1 61�"1 Permit Number:
RCEITSD JUL 0 6 2917
.1P SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
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: Shutter III
Address: 3200 N A1A 603
Legal Description: SEA PALMS UNIT 603 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0049-000-5
Site Plan Name:
Project Name: Fuller
Setbacks Front Back: x
Install 1 Accordian Shutter
F_1HVAC LJGas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 822.00
Lot No.
Block No.
Right Side: Left Side:
Perim[ —cneCK au
// appry:
tl
❑
Gas Piping
Shutters
Windows/Doors
Sprinklers
ElGenerator
D
Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNEL2%L1r5SEE
GONTRAC3OR:.
Name Sherry A Middendorf -Fuller
Name: Michael Heissenberg
Address:1460 Ebenezer RD
Company: Expert Shutter Services
City: Cincinnati State: OH
Zip Code: 45233 Fax:
Phone No. 513-787-2337
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 ,izsuo or more, a RECORDED Notice of Commencement is required.
N$T({UG«71QtLIFNlAV1f1NFt7RMATION',
DESIGNER/ENGINEER: _ Not Applicable
Name: Tilteminc.
MORTGAGE COMPANY: X
Name:
Not Applicable
Address: 6355 Nw 36tn St suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
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 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
commencing work op-rifEOlyding-Four NotA of Commencement_ ---'I n
as
STATE OF FLOLRIQA STATE OF FLORIDA
COUNTY OF c7t" (.I),IP_ COUNTY OF f::� l a 1(A t
The for oing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this day of , ( 1 11 I J 20 Laby this �a day of � 1T 20 F by
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of o ary Public -State of Florida) ( gnature of Not ry P blic- State of Florida )
Personally Known V/OR Produced Identification Personally Known V/OR Produced Identification
Type of Identification Producceedd Type of Identification Produced
Commission NoC b,'-3 1 eal}ia h Russell Commission No (Seal)
NOTARY PUBLIC tARY Haleigh Ru
sspil "TARY PUBLIC
—'Revised 07/I5/2014 1
Comm# GG108399 STATE OF FLORID.
Expires5/25/2021 A. Comm#nnine,,.,.
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