HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONG
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1' Co _ Permit Number:
RECEIVED JUL 0.3 2017 SCANNED
BuildingPermit Application BY
pp St. Lucie Count Planning and Development Services y
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
PROP,QSED,INIPRC!dEfyIENT LOCATION 2'
Address: 3100 N A1A Unit 606
Legal Description: SANDS ON THE OCEAN -SECTION 1- UNIT 606
Property Tax ID k: 1425-606-0022-000-8
Site Plan Name:
Project Name: Gory
Setbacks Front Back: X
Install 4 Accordian Shutters
11HVAC Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11 ,821.00
Lot No.
Block No.
Right Side: Left Side:
YCIIIIIL—lAIObR Oil
Gas Piping
OpPly.
77 Shutters
❑
Windows/Doors
Sprinklers
FIGenerator
1:1
Roof = Roofpitch
S Ft. of First Floor: _
Utilities:Sewer E]Septic
Building Height:
;OWNER/I SSEE
GONTRAGTOR.
Name Leslie Gory
Address.15741 Turnberry Or
Name: Michael Heissenberg
Company: Expert Shutter Services
City: Welmi Lakes State: FL
Zip Code: 33014 Fax:
Phone No. 305-389-1145
Address: 668 SW Whitmore or
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
Notn the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
^ value oT construction is yz5u0 or more, a RECORDED Notice of Commencement is required.
Name: Ti6ecoinc.
Add resS: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 ermit 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 len ar or an attorney before
as Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOFfE+ \�_� C f COUNTY OF `:�� k A "A-Q
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ,L day of 20 aby this 3 day of . )1 A A � _. 20 A-�7 by
Michael Heissen4l; Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature oIf Nc,(tary,Public- State of Florida ) Tignature of Ng'tar/f Public- State of Florida )
Personally Known " OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Produced Type of Identification Produced
� h Haleigh Russell
Commission No:=)�I//��Hal 1 � eig Russel Commission No. NOTARYPLIBLIC
NOTARY PUBL C
E STATE OFF STATE OF 168399FLORIDA
�0 0mr V GG10839g
Revised 07/15/2014 Expires 5t2512021 Expires 5/25=21
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