HomeMy WebLinkAboutBUILDING PERMIT APPPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3Q, Permit Number:
WPM
j RECEIVED
Building Permit Applicatio MAR 0 2 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter-( or,aa III
Address: 3200 N A1A 808
Legal Description: SEA PALMS UNIT 808 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 4033-726)
Property Tax ID #: 1425-600-0074-000-9
Lot No.
Site Plan Name: Block No.
Project Name: Fairbanks
Setbacks Front Back: x Right Side: Left Side:
Install 1 accordion shutters
AaaitionalworKtoDe errormea
�HVAC Gas Tank
unaertmsperma—cneCKau
Gas Piping
appiy:
Shutters
❑ Windows/Doors
Electric 0 Plumbing
❑Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sct.
of First Floor:
Cost of Construction: $ 897.00
Utilities:n
Sewer D Septic
Building Height:
NTRA`�TOR
Name Jamila Khalil
Name: Michael Heissenberg
Address: 842 Indian Oaks DR
Company: Expert Shutter Services
City: Saltillo
Zip Code: 38866 Fax:
Phone No. 772-979-0833
State:MS
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.
st PFk 1 tvTAC GONST t]JCT ON _LIEN LAiIV IIVIcC1
tl\tIAf ONa
f
'y"'a
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tiltecolnc_
Name:
Address: 6355 NW 361h 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:
Name:
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 ryu intend to obtain financing, consult with4en�ler or an attor ey before
nk cnmmenrinE wAor'rkcardiLy vour Notice of Commencement. / /�)
re
Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF,S1r t )JCr e_ I COUNTY OF SF ( A I c i-e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
th � day of C-%3Y1 a_Cti� 4. 20 15by this-,d oday of �?..4�? `�S^�, 20 Y_�_ by
Michael Hsissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public -State of Florida )
Personally Known OR Produced identification
Type of Identification Produced
y ,: q Haielggh short
CommissionNo.C1�-ictS2v sa Wee* RVCnr
Revised 07/15/2014 'NoFten� Exoirec512512021
( ignature of o ary Public- State of Florida )
Personally Known •/ OR Produced Identification
Type of Identification Produced
Ha!el n Short
CoinrriMionNo.<-1islly�3� Fy co_( LyPUBLIC
Expires 512512021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
/
INITIALS