HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr _ �
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 31a` %A Permit Number:
Building Permit Application MAR 0 2 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Pern
2300 Virginia Avenue, Fort Pierce FL 34982 -—�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter C p mad
pRf74�f3R5FIHt5?IPRfI\IFIVIFNT,I f]GATI(1N• , 7� _ a .
Address: 3920 N Al #401
Legal Description: OCEAN PEARL CONDOMINIUM (OR 1842-1609) UNIT 401(OR 3732-2634)
Property Tax ID #: 1423-505-0009-000-5
Site Plan Name:
Project Name: SEWARD
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION; OF WORK:
Install 1 roll shutter
1__1HVAC
❑ Gas Tank
11 Electric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 1,695.00
Piping LJShutters
nklers [iGenerator
_ S Ft. of First Floor: _
Utilities:11Sewer OSeptic
Windows/Doors
gRoof = Roof pitch
Building Height:
01NNERJLE55EEc
CONTRACTOR:
Name G Taylor Seward
Name: Michael Heissenberg
Address: 2118 Bluewater Cr
Company: Expert Shutter Services
City: Warsaw State: IN
Zip Code: 46580 Fax:
Phone No.574.453-0003
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
IT vame or construction is oz!,uu or more, a ntcunutu Notice of commencement is required.
SIPPLEMENTALLONSTR;J CJ ION.:. LIEN
IAW INPORMATI.ON
',.
DESIGNER/ENGINEER:
Name: Tllteculnc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip:3316s 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
commencing work or-reeordirrnour NAlice of Commencement. O
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF, I— l_ LI Ca � COUNTY OF U o -e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thig� day ofVC(1 LMe5v�_a_ 20 La th�Q day of r—If&901A20 by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging i
/(Signature of N, glary
Personally Known _
Type of Identification
Commission No.�a
Revised 07/15/2C
State of Florida) (Signature ofi N¢tary Public- State of Florida )
OR Produced Identification Personally Known OR Produced Identification
�iceedd Type of Identification Produced
9- (Seal) Commission No. �4 Hel y apyOrt
1 jlPY4 . Haleigh Short- ��jr� ° NO ARYPUBLIC
Comm# GG148342
Comm# GG148342
Exoires 512512021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
/
INITIALS