HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p�
Date: SCANNED Permit Number:
BY
a, � -' L ' .., . mm' St. Lucie County
® Building Permit Application
Planning and Development Services
Building and Code Regulation Division DEC ! 1
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
..;
PROP0 ED, IMPI20VEMENT LOCATION. � ..4
Address: 3200 N AIIA #1107
Legal Description: SEA PALMS UNIT 1107 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0103-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Kelly
Setbacks Front Back: X Right Side: Left Side:
I Install 2 Accordion Shutters
11HVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1642.00
Piping IV Shutters
!rs 11 Generator
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/l
ESSEE ' , ter,.- y:
CON TRACTOR .,,
Name Patrick Kelly
Name: Michael Heissenberg
Address: 2960 Pinkerton Lane
Company: Expert Shutter Services
City: Zanesville State: OH
Zip Code: 43701 Fax:
Phone No.740-819-0536
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 an next page ( if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Su0-01 MENTALCbNS-f '- 1 TION°LIEN
LAW INEORtVIA710N'
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: Tiltecoinc.
Name:
Add refs: 6355 NW 36tb St Suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
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 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 otice of Commencement must be recorded and posted on the jobsite
before the first it 'on. If youpend to obtain financing, consult with lender or an attorpey before
as
STATE OF FLO IDA I STATE OF FLORIDA
COUNTY OF (,I Ct i COUNTY OF-._ ( A I _Gt C'
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z2 day of MV?{'VJ IeJZ V 20 nby this Aa day of (\,t\MMY)-C V . 20 n by
Michael Helssenbkg Michael Hsissenberg
(Name of person acknowledging ) (Name of person acknowledging)
JCL -:—
Signature f I otary Pub'c-State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
( ignature of of ry Pub ic- State of Florida )
Personally Kno n OR Produced Identification
Type of Identification Produced
Commission No.CviG11483420�pgy eaftleigh Short Commission No. ,l i rta A Short
cQ O NOTARY PUBLIC $ NOTARY PUBLIC
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Revised07/15/2014 02ComSTATE OF FLORium
m#GG148342 �s y ,?Comm#GG148342
NCE 19 Expires 5/25/2021 HCE 191 Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
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DATE
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COMPLETE
INITIALS
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