HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED H y
Date: qL lq• f l SCANNED Permit Number: � I I q V
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Building Permit Application JUL 2t�1'
Planning and Development Services pJ i
Building and Code Regulation Division PEi .'vll---. 3
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Counh;, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter III
Address: 5059 N A1A Unit B-702
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING B UNIT 702
Property Tax ID t#: 1414-601-0088-000-9
Site Plan Name:
Project Name: Bryan
Setbacks Front Back:
Install 2 Accordian Shutters
Right Side: Left Side:
Lot No.
Block No.
••--•..-..-. ..... .. ... .... .. uuuc' una Ncnun—uictrt au apply:
�HVAC _Gas Tank ❑Gas Piping Vor _Shutters Windows/Doors
Electric ElPlumbingSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 990.00 Utilities:Sewer ElSeptic Building Height:
Q NEEt LE55EE s
;GONTRACfiOR
. v ,. }X.F
Name Eva J Bryan
Name: Michael Heissenberg
Address:5059 N A1A Unit B-702
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.269-207-3155
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
u vaiue or consiruciron is �,zbuu or more, a RECORDED Notice of Commencement is required.
P'F`C GIL.G�J77L}e AAItCF4AXa+r"AT
d. , :.
DESIGNER/ENGINEER: _ Not.Applicable
MORTGAGE COMPANY: X
Not Applicable
Name: Tlteminc,
Name:
Add reSS: 6355 NW36th St Suite 305
Address:
City: Virginia Gardens State: W
City:
State:
Zip:33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY:
Applicable
Name:
_Not
Name:
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 Associationand review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 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
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'tO- t I c a C COUNTY OFE2- \ .l A f a e
The for oing instr ment was acknowledged before me
thisYdayof JkAX 20Q_by
Michael Heissenbiilg
(Name of person acknowledging)
OR Produced Identification
Type of
Commission
Coma,*
Revised 07/15/2014
The forgoing instrument was +acknowledged before me
this, day of � 1, I`
20 L-1 by
Michael Hsissenberg
(Name of person acknowledging )
(Sig a ure of NotiW Public- tate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
.r rVMLIO Commission
OF F
Russell
OF FLORIDA
Expires 512MO21
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