HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED�t
Date: SCANNED Permit Number: �`1 O I'O I(Q�
Elm
BY
St. Lucie County t,ECEtvEo
Building Permit Application 1g1o19
Planning and Development Services ,ut Department
Building and Code Regulation Division Per c<K�°cte CO'31tY
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT -LOCATION: f,
Address: 3100 N HIGH WAY Al A 901
Legal Description: SANDS ON THE OCEAN -SECTION 1- UNIT 901
Property Tax ID #: 1425-606-0035-000-2
Site Plan Name:
Project Name: Maxwell
Setbacks Front Back: X
Install 1 accordion shutter
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
•y:
z
Addrtiona wor to
e e
orme un ert ispermit—c ec
a-
apply:
OHVAC
fi
Gas Tank
Gas Piping
Shutters
❑
Windows/Doors
Electric
0 Plumbing
[]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:$
7,175.00
Utilities.
nSewer
0Septic
Building Height:
OWNER/LESSEE:7
CONTRACTOR: _
Name Lynn & John Maxwell
Name: Michael Heissenberg
-Address:602 NE Horseshoe -NE CT__
-Company_—Expert Shu_tter_Service_s_____
City: Winter Haven state: FL
Zip Code: 33881 Fax:
Phone No. 863-280-0185
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.
SU PI M NZAl 01V Rt1GTtQC�t,LIEI� t-INW 4RMATk�3N x ' " TM
DESIGNER/ENGINEER: _
Name: Tiileminc.
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Add ress: sass NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip:33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
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 whlch 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 vour Notice of Commencement.
_��� s
Signature of Owner/Lessee/ ctor as Agent for Owner Signature of Contractor/License er
STATE OF FLORIDA �� k STATE OF FLORIDA 1
COUNTY OF C (t COUNTY OF }jam
The f rgping instrument was acknowledgecWefore me
this L--Lklay of ,TLl t \ 20 LT -by
Michael Heissenberg
(Name of person
(Signature
Personally Known
Type of Identification
Commission
Revised 07/15/20M
OR Produced Identification
The f rpomg instrument was acknowledged before me
this day of 1_TL1(_T 20 1 C? by
Michael Hsissenberg
(Name of person knowledgingg))
(Signature of Notary Pubyc- State of Flori
Personally Known � OR Produced Identification
Type of Identification Produced
Public State of
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