HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,
Date: SCANNED Permit Number: 7H_ Di
n
$t. Lucie County rrN��
Building Permit Application
Planning and Development Services AUG 2 3 2017
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
PROPOSED.IMPROUEMERITLOCAT{ON: ng
Address: 5055 N A1A 401
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING C UNIT 401
Property Tax ID #: 1414-601-0121-000-3
Site Plan Name:
Project Name: ABRAMCZYK
Setbacks Front X Back:
INSTALL 1 ACCORDIAN SHUTTER
Right Side: Left Side:
Lot No.
Block No.
nuumundi wum to oe errormea unaer tnis permit — cnecK au apply:
❑HVAC _ Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
❑Electric El Plumbing []Sprinklers Generator ❑Roof ❑ Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 626.00 Utilities:nSewer ❑Septic Building Height:
WNER/LESSEE: =-
COI7RA(TOR: t
.x_
Name VIRGEM ENTERPRISES INC
Name: Michael Heissenberg
Address:5055 N US HWY A1A APT 401
Company: Expert Shutter Services
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No.772-766-5506
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 vame or construction is �.&)uu or more, a imcUKUtU Notice or commencement is required.
Name: Tiltew Inc.
Ad dress: 6355 NW 36th St Sufte 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 the jobsite
before the first inspection,lfyoy-iF>#end t94JA in financing, consult with Iewderol�an attgtp y before
as
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this day of JUN 20 Q_by
Michael Heissenbirg
(Name of person acknowledging )
pignature''UNotary Publl State of Florida )
K Personally nown �// OR Produced Identification
Type of Identification
�� Produced
Commission NZ-,I1�1 It) J,3qq lSeall
Russell
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this J % day of , I all,\- 20 ) -1 by
Michael Hsissenberg
(Name of person acknowledging)
Signature of o ry Public- State of Florida j
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No) (Jb (S.al)
_otE.Ri4a. alegh Russell
s FATE OF FLORIDA STATE OF FLORIDA
Revised07/15/2014 •C0n%rn#GG1G839g CMWOGGIOB399
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