HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i ll /C� �a
Date: SCANNED Permit Number:
BY
0
8t, Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT APPLICATION FOR: Shutter 44' -r 1
Address: 3100 N HIGHWAY A1A 603
Legal Description: SANDS ON THE OCEAN -SECTION 1- UNIT 603
Property Tax ID #: 1425-606-0019-000-4
Site Plan Name:
Project Name: Hixson
Setbacks FrontX Back:
Right Side:
Left Side:
j=DETAILED;' DESCRIPTICIIV OF1W RK `a
Install 2 accordion shutters
Lot No.
Block No.
[GONSRUCTI()N`INF,QRMATfON;: - lII
LJHVAC I _I Gas Tank
DElectric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,922.00
Perrnn—cnecK au appiy:
Gas Piping _Shutters
Sprinklers Generator
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Windows/Doors
Roof = Roof pitch
Building Height:
YOWNER%LESSEE: 3 ;�.•,
CONTRACTOR: � r �,�=�.
Name Jeanette 8 Lawrence Hixson
Name: Michael Heissenberg
Address:14710 Elrond Dr
Company: Expert Shutter Services
City: Sterling Heights State:MI
Zip Code: 48313 Fax:
Phone No.586-291-9839
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
IT vame of construction is >zsuu or more, a KECDRDED Notice of Commencement is required.
n
bUPPLEMENTAL CONSTRUCTION UEN LAU1% I.NFORiVIATION
DESIGNER/ENGINEER: _ Not Applicable
Name: rlteculnc.
MORTGAGE COMPANY:
Name:
x Not Applicable~
Address: 6355 NW 36th St Suite 305
Address:
City: Vir9iniaGardens State: FL
Zip:33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
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 inteo to obtain financing, consult with ten r or an attorney before
rei commencine wo& orAiae vour Gtce of Commenremenf_ _, n
Owner
STATE OF FLORIDA STATE OF FLORIDA v
COUNTY OFF COUNTY OF t J. AC t'P.
The forgoing instrum�rent was acknowledged before me The forgoing instrument was acknowledged before me
this __U day of V,6,)O 20 Eby this l 9 day of (N J(11,A 1, 20 ]C1 by
Michael Heiseantc6 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
t(Signature of NQt9ry Public -State of Florida )
Personally Known ubOR Produced Identification
Type of Identification Produced M,Ieiqh Short
Commission Nor- . iy%3 S NOTARY PUBLIC
STATE OF FLORI
(signature of NotVr
Personally Known _
Type of Identificatio
Commission NO.n
State
OR Produced Identification
Short
Revised 07/15/2014 iN e te�0 E p rre 6 25/2021 II
REVIEWS
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SUPERVISOR
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