HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o /
Date: SCANNED Permit Number:_
BY AECIEVED
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St. Lucie County
Building Permit Application JAN 161010
nt
Permitting euoPlanning and Development Services ,Cof
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
,PgOPOSEDaMPROVEMENT LOCAtON
Address: 3200 N A1A #801
Legal Description: SEA PALMS UNIT 801 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 2917-329;
PropertyTax ID #: 1425-600-0067-000-7
Site Plan Name:
Project Name: Gibson
Setbacks Front Back: X
I Install 4 accordion shutters
Right Side: Left Side:
E1HVAC u Gas Tank ❑Ga:
11 Electric Plumbing 0Spl
Total Sq. Ft of Construction:
Cost of Construction: $ 6,657.00
nn —cnecK au appiy:
Piping Shutters
ars 11 Generator
S Ft of of First Floor: _
Utilities: nSewer OSeptic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
`OWNER/LESSE£i ' , .'
CONTRACTOR:
Name Charles Gibson
Name: Michael Heissenberg
Address:3200 N A1A#801
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 207-236-3624
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
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: Haleigh@ExpertShutters.com
State or County License: 16572
IT Value of construction is %z!puu or more, a RECORDED Notice of Commencement is required.
SUPFIEMENTALCONSTRUCTIOWUEN�IAW INFORMATION 'III . .
DESIGNER/EN
Name: Tixecoinc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens
Zip: 33166 Phone:
Not
State: FL
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name: _
Address:
City:
Zip:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in convict 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 attprney before
commencing work er- -a rdicit our Nbtice of Commencement. 1 5
as
STATE OF FLORIDA STATE OF FLOFUDA
COUNTY OF S{- UJ- a < COUNTY OF V1 Ca 2
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this _aday of-3C.VC �,(( 0 I 20 acknowledged
this iO dayofc)OIY LAIC71 -,20 'VC�by
Michael Heissenbt>rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
'o,olb ga, sL'
#Signature of tary Public- State of Florida
,)
Personally Known OR Produced Identification
Type of Identification Produced
Commission NoG
(Si attire of Nota P blic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced__
Short Commission No.
Y PI IF LUC
�ialeigh Short
j OTARY PUBLIC
Revised 07/15/2014 V1COMMA CG I4P M2 � comnw r.G148342
eti� Expires 5/'25;202.1 Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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