HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7
Date: SCANNED Permit Number: J ! Diiii" pay
BY
St. Lucie County
Building Permit Application ate
Planning and Development Services ]AN 161"
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting DePartment
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential t. LUCIe County
PERMIT APPLICATION FOR: Shutter
PROPOSED IiV1PROVEIVIENT EOCAT(ON:.' ; p .
Address: 1 Lake Vista Trail #105
Legal Description: VISTA ST LUCIE BLDG 1 UNIT 105
Property Tax ID #: 3422-500-0005-000-5
Site Plan Name:
Project Name: Torres
Setbacks Front X Back:
Install 4 accordion shutters
LJHVAC L_I Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,630.00
Right Side: X
_ Left Side:
nit — cneCK all apply: —`—
Piping [Vz_Shutters
nklers M Generator
_ S Ft. of First Floor: _
Utilities:Sewer ❑Septic
Lot No.
Block No.
Windows/Doors
11 Roof = _-. Roof pitch
Building Height:
OW)t4ER/LESSEE n
CONTRACTOR
Name Yolanda Torres
Name: Michael Heissenberg
Address:1 Lake Vista Trail #105
Company: Expert Shutter Services
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 917-239-0940
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 value or conscrucnon is pteuu or more, a KhcuKueo Notice of Commencement is required.
SUPPLEMENTAL CQNSTRUCTION�LtE�;LAW-INF0RMATIO : ,, , ,,
�. _,.
Ivoc Hppucame MORTGAGE COMPANY: Not Applicable
Name: rlteculnc. Name:
Address: e355 Nw 3sth St suite ape Address:
City: Virginia Gardens State: FL City: State:
Zip:331es Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
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 ano covenants that may hrestrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions wich 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 int��,,nnd to obtain financing, consult with lender or an attorney before
commencing work o�rding yottYNotice of Commencement. �� //
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFg LL 1! � -f COUNTY OF 91 t A e
The for oing instrument was acknowledged efore me The for oing instrument was acknowledged before me
this dayof 20 -LLby this l day of Jr(�Il �20 —I_Y>by
Michael Helssenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature`of lotary PubliS- State of Florida) (ignature of Not ry Public- State of Florida )
Personally Known ' OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.,�4g3�1 eat) Commission No.� I)Haleigh Short
�o Raleigh Short NOTARY PUBLIC
a NOTARY PUBLIC a _STATR nir ri nor
Revised 07/15/2014
Cunn* GG148342
Expires Fns;nno,
Expires &25/2D21
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE '
COMPLETE
30�
INITIALS
Gi