HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLE-%E0. FUCATION TO BE ACCEPTED
Date: 771� BY Permit Number:
___._ _ __ _ _ _ _ St. Lucie County
l 7os - o d7tm
REC oVED
Building Permit Application AUG 2 3 2017
Planning and Development Services
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
■J:i®l:b®i.��It�ii�:iolt®lq��l�r•Io��oZe7ei�[® L
Address: 3120 N Al 1503
Legal Description: TIARA TOWERS UNIT 1503-S
Property Tax ID #: 1425-610-0144-000-2
Site Plan Name:
Project Name: FARIES-GRAY
Setbacks Front X Back: Right Side: Left Side:
INSTALL 1 ACCORDIAN SHUTTER
Lot No.
Block No.
LUiv I KU',IJUM uvrudyltA }u_
rtiona war to e errormea
EIHVAGas Tank
t peRmffit — cneCK
❑Gas Piping
all apply:
�Shutters
❑
_
Windows/Doors
I��II
Electric JPlumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 849.00
Utilities: �Sewer Septic
Building Height:
OWNER/LESSEE; :.
CONTRACTOR.
Name JOAN FARIES-GRAY 8 GLEN GRAY
Name: Michael Heissenberg
Address:325 TERRELL RD WEST
Company: Expert Shutter Services
City: CHARLOTTESVILLE State:VA
Zip Code: 22901 Fax:
Phone No.434-249-4451
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 vaiue or construction is yzsuu or more, a RECORDED Notice of Commencement is required.
Y
Name: Ti6ecomc.
Address: 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:
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 in nd to obtain financing, consult with lender or an attorney before
commencing wo or ine v Notice of Commencement. ��_ -% i�
STATE OF FLORIDA
COUNTY OF ST LUCIE
STATE OF FLORIDA
COUNTY OF STU1cIE
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ff day of . ) (A K 1_, 20 ID —by this j2 day of , � IV!�4 20 F) by
Michael Heissenbkg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature otary .Pub/lic- State of Florida) ignature of Not Pu/bl}c- State of Florida )
Personally Down V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NoCIGI (S I) Raleigh Russel Commission No.C�IC7ID�JGG% (Seal)
NOTARY PUB IC Y Haleigh Russell
Revised 07/15/2014 ConWn# GG108399 STATE OF FLORIE
Expires5/25/2021 ComirdFGG108999
1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS