HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o�
Date: 13 (7 J SCANNED Permit Nnrd%er:
BY
_r►'' St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division JAN 30 2018
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PftOPOSEb INIPROUENIENT LOCATION 3 ; `. r ;
Address: 3920 N Al 801
Legal Description: OCEAN PEARL CONDOMINIUM (OR 1842-1609) UNIT 801
PropertyTax ID #: 1423-505-0025-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Schulman
Setbacks Front X Back: Right Side: Left Side:
Install 1 accordion and 1 roll shutter
— cnecK a
E1HVAC LJ Gas Tank ❑Gas Piping
11 Electric El Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,053.00
Shutters ❑ Windows/Doors
Generator Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE £ �, f - "�
'CONTRACTOR
Name Robert & Michele Schulman
Name: Michael Heissenberg
Address:14 Eagle Ridge Dr
Company: Expert Shutter Services
City: New Hartford State: NY
Zip Code: 13413 Fax:
Phone No. 315-735-3816
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
n vaiue or construction is gzsuu or more, a KhCURDED Notice of Commencement is required.
SUPPLEMENTAL'CONSTRUCTION'LIEN LAW INF RMATIOiV
r
DESIGNER/ENGINEER: _
Name: Tiltecelne.
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: =
Name:
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
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFa�- U l Ca P_ I COUNTY OF-, l L IC a C
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this,?jday of )(lYl\ )i',1Y1 . , 20 acknowledged
this day of, )Q (2L)(��, 20 _JZby
Michael Heesenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
Tigriature of N�i p Public- State of Florida )
Personally Know.n� ” OR Produced Identification
Type of Identification Produced -.nave„
Commission No6 C-r 1 Liy
Revised 07/15/2014
( igna)5ure of No ry Publiy-State of Florida )
Personally Known OR Produced Identification
3Vpe of Identification Produced
Ebii fflMion No.&c-- iL423q`AyAs;($pj rlgh Short
OF FLORIDA
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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