HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED, TOR APPLICATION TO BE ACCEPTED Q
Date: SCANNED Permit Number: I f DO' o0
BY
St. Lucie County
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Building Permit Application pefm`111,0
2?9169
Planning and Development Services SL 4 11 0
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Building and Code Regulation Division a Lou' eqr
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENTLACA_ TION ..:
Address: 3100 N A1A PH-B6
Legal Description: SANDS ON THE OCEAN -SECTION 1- UNIT PHB6
Property Tax ID #: 1425-606-0076-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Kendall
Setbacks Front x Back: x Right Side: Left Side:
DETAIL'D DESGRIPTION;,OF WORK
Install 2 Accordion shutters
EOION1FO NRMAfION',
niona wNRTRUCior to e ertormea unclerthispermit—c ec `all apply:
E1HW Gas Tank Gas Piping Shutters ❑ Windows/Doors
11 Electric Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost of Construction: $ 19,031.00 Utilities:Sewer Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
_Name Becky Kendall
Name: MichaelHeissenberg
_
Address:174 SE Strada Tione !—
Company: Expert -Shutter -Services_ —_—
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No.772-409-4655
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 value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER ENGINEER: Not A Applicable
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MORTGAGE COMPANY:
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Not Applicable
Name: rltewlnc.
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 intend to obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OP�j,- 4A..IC aC COUNTY OF La_ts a-C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�dayof 20 )&.by thisaLayo df
'' 11 ��Ol_e 20 by
Michael Heissennerg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
State of Florida )
of t lctaryPublic- State of Florida )
Personally Known - OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.C,' QII1 �3L]2 (Seal) I Commission No.E71G-71 U2i3L4 Z (Seal)
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Revised07/15/2014 xrn .....,.,...--
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REVIEWS
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS
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