HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
Nil St. Lucie County RECEIVED
Building Permit Application SUN 28 2010
Planning and Development Services
Building and Code Regulation Division Permitting Department
St. Lucie Court,,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
"PROPOSEP]MIDROVEMENtILOCA
Address: 3100 N Highway AlA PHD01 I
Legal Description: Sands On The Ocean Section 1 Unit Phdl
Property Tax lD#: 1425-606-0059-000-6
Site Plan Name:
Project Name: Stein
Setbacks Front Back: X
l-'DETAILED.7DESCRIPTION,OFWORK
:,�--'
Install 3 accordion shutters
CONSt-.RO 0,101\14NFORMATI61\1:'=-,
11HVAC Gas Tank
OElectric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 12,900.00
Right Side: X Left Side: x
permit — cneCK all that apply:
Gas Piping W1 Shutters
Sprinklers Ilenerator
S Ft of First Floor:
Utilitiescn Sewer 0 Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
10,
-CGNTRACTO
Name Robert Stein
Name: Michael Heissenberg
Address: 6005 Manchester Dr
Company: Expert Shutter Services
=cit Minneapolis--
r-. State:
Zip Code: 55422 Fax:
Phone No. 612-812-1612
j�.AWSW_�WiCawrd�
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 at construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLE MENTAL=CONSTRUCTION LIEN"INFORMATION,
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiheminc.
MORTGAGE COMPANY: X Not Applicable
Name:
Add ress: 6355 Nw 36thsl mite 305
Address:
City: Virginia Gardens State: FIL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording vodr Notice of Commencement. 9
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY Openrc COUNTY OF el�&�
The forgoing instrument was acknowledged before me 'The forgoing instrument was acknowledged before me
this 12 day of J k-AY-ve 20 Eby this -U day of CAL it 20 1' by
Michael Heissenbirg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
((Signature of Cojary Pub'c-State of Florida) (Aignature of Npt�.
Personally Known
OR Produced Identification Personally Known
Type of Identification Produced Type of Identificat
Commission No. i^-iC�l l `I ano
e.�-('7 SeaI1 Commission No.
p(ARY,� ttialelgti n. ---
-—o<o�NOTARYPUBLIC — -_-_-_
Revised 07/15/2014 `sue CQMM# GG748342
�4'CEM ExoirB55/9F19n9i
State of Florida )
OR Produced Identification
:sgkign 6norl-
NOTARY PUBLIC
Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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DATE
COMPLETE.1
INITIALS