HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
`r. `" ,mi' d RECEIVED
6 • �P'o�
Building Permit Applicatior 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-- C dr,\,
PROPOSED IMPROVEMENT LOCATION
Address: 3200 N A1A #701
Legal Description: SEA PALMS UNIT 701 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR
PropertyTax ID #: 1425-600-0057-000-4
Site Plan Name:
Project Name: Matterson
Setbacks Front Back: x
I Install 1 accordion shutter and 1 shutter
C CONSTRUC1tON IN,FORMATJON;`
l JHVAC Lj Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,982.00
Right Side: Left Side: X
Piping IVI Shutters
ers ❑ Generator
S Ft. of First Floor: _
Utilities:cn Sewer []Septic
Lot No.
Block No.
❑ Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/LESSEE:
,CONTRACTOR
Name:
Name Chrys Matterson
Michael Heissenberg
_Addressi 516 E Shore Dr—_— _-- — -
Company: ExpertShutter Services
City: Adirondack State: NY
Zip Code: 12808 Fax:
Phone No. 518-321-1941
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 value or consrrucrion is pz�uu or more, a MMUMueD Notice or Commencement is required.
SIiPPI EIVIENTAL`CONSTR_UCTION (t fN 64* INFC?RMATIOf
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.. a
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
z Not Applicable
Name: Tiitecolnc.
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:
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 you in nd to obtain financing, consult with lender or an attorney before
commencing work or recordlkng yoW Notice of Commencement.
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF,`- k I COUNTYOF`� 1 t 9(`ae
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of4�� 20 any this' ! day of:C"- ( (`j `20 '� by
Michael Helsse4g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
I(Signature df Notary Public- State of Florida ) (Signature of Not 4y Public- State of Florida )
Personally Known ✓/ OR Produced Identification Personally Known �/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission-No.(��..,+ Q ZH�yr0� Short -- �(—i��}f( jC1r.��Ryxs
"" Sn_ yuca1)_. ,. Commission No.— —114,i AHtY,lAevnnm in
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Revised07/15/2014 ''04PRAW� Exoires512512021 Expires512512021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
3
COMPLETE
30 /sr
INITIALS