HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:--' Permit Number:ll ()—1 —01 1(3
RECEIVED JUL 00 2017
quo 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: 5061 N A1A # 204
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING A UNIT 204
Property Tax ID #: 1414-601-0008-000-5
Site Plan Name:
Project Name: Witherow
Setbacks Front Back: x
Install 1 Accordian Shutter
Right Side: Left Side:
Lot No.
Block No.
vu ncu
11HVP Gas Tank
w1uc1 una Penuu—uiccrtdn
DGas Pi.
appry:
_Shutters
Windows/Doors
11 Electric
Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S
Ft. of First Floor:
Cost of Construction:
$ 3,657.00
Utilities:Sewer
11 Septic
Building Height:
1NNE[t/LESSEEy `k
GONTRAGTOR
- ;:N
Name Dennis J Witherow
Name: Michael Heissenberg
Address:10207 Isle Of Pines Cir
Company: Expert Shutter Services
City: Port St lucie State: FL
Zip Code: 34949 Fax:
Phone No. 772-242-8302
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
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
it vame or construction is $zsuo or more, a RECORDED Notice of Commencement is required.
Sl1PF SEMEN rAL CONSTRUCfION�LIEN LAW INFORMATION�'"
iC, r, 2..•m.vx ».a,°.aw
e3�r
: s
F[y,Ny
.. .;.` $WP„ ��.. #..!. avn�Y+Y'/C:
DESIGNER/ENGINEER: _ Not Applicable
Name: rlteco,lnc.
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 6355 NW 36th S
Address:
City:yirginiaGardens State: -FL
Zip: 33166 Phone:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLEHOLDER: _ 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 inspectiorryy,,If you intend to obtain financing, consult with lender or an attorney before
commencine work or red6Tdift vourMotice of Commencement. ------,
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF '-,F� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of J [A'iYC 20 Laby this 7,Zday of JJ ayl C 20 A3_ by
Michael Heissenbg Michael Helssenberg
(Name of person acknowledging) (Name of person acknowledging)
Signature f N tary Public -State of Florida) ( gnature of N a Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised 07/15/2014
Halelgh Russell Commission
NOTARY PUBLI
STATE OF FLORIDA
Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS