HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. "-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1�
Date: f Ems/ Permit Number: M O Y r I
SCANNED
BY
Bui1cRhk`PVft1t`Ap1
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
APR 18 2018
Permitting Department
- 8tsiIJuat0ICounty. FL
PERMIT APPLICATION FOR: Shutter III
Address: 3200 N Hwy A1A #501
Legal Description: SEA PALMS UNIT 501 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0037-000-8
Site Plan Name:
Project Name: Walton
Setbacks Front Back: x
Install 2 Accordion shutters
Right Side: Left Side:
Lot No.
Block No.
11HVAC
L 1 Gas Tank
Gas Piping
Z
Shutters
❑
Windows/Doors
11
Electric
0
Plumbing
Sprinklers
0
Generator
Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,737.00
S Ft. of First Floor: _
Utilities:'n Sewer O Septic
Building Height:
Ol%V1�ERJLESSfE: i °
QNTRAGI OR' ; '^ `.
x. ..... 3 �v x✓...%..^Le 1 .ni..-0r. 5"`2` 'wr3'AO'3fY P ai
Name Robert & Mary Walton
Name: Michael Heissenberg
Address:3200 N A1AA#501
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-460-6648
Address: 668 SW Whitmore Cr
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.
SUPPLEMENT AL CONSTRUCTION LIEN ,LAW INFORMATION:
DESIGNERANGINEER:
Name: rltecolnc.
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address: 6355 NW 36th St suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
= Not Applicable
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
STATE OF FLORIDA STATE OF FLORIDA v
COUNTY OFF t t 1Cae- COUNTY OF gA— k K a C , t°
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisZDdayof t,_ArxQ� , 20 0-by this day of q--AC7tfCY' 20 0 by
Michael HeissenbA19 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature Of f otary Public- State of Florida )
of Nollary Public- State of Florida )
Personally Known " OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
�c: 4 g EmGiIL4B 2 0� Ha!eighShon
Commission No. I ���-} RY Sea�hlei h Short Commission
oeN
or n NOTARYPUBLIC NOTARYPUBLIC m MSTATCnrcrnni
Revised 07/15/2014
Comm# GG148342
Expires 5/25/2021
Gomm# GG148342
Expires 5/25/202
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