HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETER 6O RPPLIICATION TO BE ACCEPTED
Date: fiBNYIVED
Permit Number: 180 e)33-�
=}_111*f µ St. Lucie County
Building Permit Application
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
Address: 3920 N A1A #702
Legal Description: Ocean Pearl Condominium
Property Tax ID #: 1423-505-0022-000-2
Site Plan Name: _
Project Name: Dicke
Setbacks Front X Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK 4
Install 3 accordion shutters
Lot No.
Block No.
EIHVAC 1-1 Gas Tank Gas Piping LJ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers FIGenerator Roof Roof pitch
Total Sq. Ft of Construction: Sc Ft. of First Floor:
Cost of Construction: $ 1,333.00 Utilities: L] Sewer D Septic Building Height:
OWNER/LESSEE; " _
CO(uTRACTOR
Name Terry & Patricia Qike pi C.
Name: Michael Heissenberg
Address: 54616 Homeland Road
Company: Expert Shutter Services
City: Elkhart State: IN
Zip Code: 46514 - 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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: TiitewInc. Name:
Address: 6355 NW 36th 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: _
Address:
City:
Zip:
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 on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF" I U(A-e COUNTY OF 5>�J 1 1, T
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _)S day ofJOf Ianft % 201Jby this jSday of �C'`(�\�a(�Y1 20Aby
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
State of Florida )
Personally Known V OR Produced Identification Personally Known " OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. y (Sldal$igh Short Commission No.66148,�Z (Seal)
NOTARY PUBLIC I AIARr.,
II Revised 07/15/2014 � Comm# GG148342
s to Expires 5/25/202,
STATE OF FLOk
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Expires 5/25 2
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