HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� �
Date: SCANNED Permit Number: I 0 I - 0 33!
St. Lucie County
r� RECEIVED
Building Permit Application JAN 1 ig 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter III
Address: 3920 N A1A#701
Legal Description: Ocean Pearl Condominium Unit 701
Property Tax ID #: 1423-505-0021-000-5
Lot No.
Site Plan Name:
Block No.
Project Name: Gutowski
Setbacks Front X Back:
Right Side:
Left Side:
DETAIL"ED DESCRIPTIOW F WOfiK
x
Install 1 accordion shutter and 1 panel shutter
LJHVAC I JGasTank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 526.00
rmrt� cneckal apr
Piping _ Shutters
nklers 11 Generator
_ S Ft. of First Floor: _
Utilities:n Sewer O Septic
❑ Windows/Doors
E] Roof = Roof pitch
Building Height:
ODUNER;'LESSEE: " "' Y.
GONTRACOR.
Name Robert Gutowski
Name: Michael Heissenberg
Address: 3920 N A1A #701
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax,:
Phone No.772-871-1915
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPL'EIIIII NTALCONSTRUCTION LIEN LAW INFORI, AT,IOi�`I
DESIGNER/ENGINEER:
Name: rltecolnc.
_ Not Applicable
MORTGAGE COMPANY:_
Name:
Not Applicable
Address: 6355 NW 361h St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
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 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 intend to obtain financing, consult with lender or an attorney before
commencing workorrecordina vour/Notice of Commencement.
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S� l �_�.2 COUNTY OF S P l 1 A_CA -P
The for oing instrument was acknowledged ,¢¢�fore me The forgoing instrument was acknowledged before me
this � day of�� 20 ]�by this \S day of20 A by
Michael Heissen4rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
( ign
ature of Not ry Public- of Florida) (Signature o N tary Public- State of Florida)
Personally Known OR Produced Identification Personally Known v OR Produced Identification
Type of Identification Produced Type of Identification
�Produced
l
Commission No. � q�,(S"Neigh Short Commission No.(- G1gQ$g2. (Seal)
oP NOTARYPUBLIC �osnRr Halegh Short
= A yIN
UIARYPUBLIC
Revised 07/15/2014 a Com rM%GG148342 .. _ o STATE OF FLORIDA
�F 19� Expires 5/25/2021 sit .. ,e2 Canmp GG14Rae,
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ires 5/25/2p,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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