HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: gbJ l�
BY
St. Lucie County
RECEIVED
Building Permit Application
Planning and Development Services MAY-2 21018
Building and Code Regulation Division Permltting Department
2300 Virginia Avenue, Fort Pierce FL 34982 5" Lucie count,,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
Address: 3150 N Hwy Al #705
Legal Description: Tiara Towers #705-N
PropertyTax ID #: 1425-610-0033-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Tedone/Lemieux
Setbacks Front Back: x Right Side: Left Side: x
'DETAILED DESCRIPTION OF
Install 5 Accordion Shutters
99 NSTRLICTION_INFORMATION:'
itiona wor to e e
orme un ert
ispermit—checka
appy:
OHVAC
E]
Gas Tank
❑Gas Piping
Shutters
Windows/Doors
Electric El Plumbing
Sprinklers
ElGenerator
E]
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft of of First Floor:
Cost of Construction: $ 12,453.00
Utilities:
LJSewer
0Septic
Building Height:
011VN ER/LESSE,E:
CONTRACTOR:
Name John Tedone & Wendy Lemieux
Name: Michael Heissenberg
Address:501 Dunn Road
Company: Expert Shutter Services
City: Coventry State:CT
Zip Code: 06238 Fax:
Phone No.203-767-7271
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
11 YC,YC O, LOn]lfummn I5;lz3uu or more, a KtLUMUCu Notice or [.ommencement is required.
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UPLi�#TALGOS FRUL'f1E3NkLltltlA(U
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DESIGNER/ENGINEER: _Not
Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Tiltecolnc.
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 inspeccWn. If you intepd to obtain financing, consult with lender or an attorney before
commencing work ofreclordine vouVNotirp of Cnmmpnrpmpnt // '
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Signature of Owner/Lessee/Contracto as AgVt for Owner
. -
Signature of Co ractor/Licens H der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFE±_LAALjC,
COUNTY OF. S-y- \ t 1 C <
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this I day of ViO 20 &by
this -1 day of W\Q�J , 20 1i by
Michael Heissenberg
Michael Hsissenberg
(Name of person acknowledging)
I
(Name of person acknowledging)
Signature of tary Publirr State of Florida)
Signat4ofotry Pu/blic-State of Florida )
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Type of Identification Produced�k,fgt
Commission No r snort
apart
�o NQTAF�,YPUSLIC
Commission No. Qi ( jy}r bNOTARYPLIE S
MISTATFoFim
FFLORIDA
s ?Comrn#GG148342
ORIDA
"? Comm#GG148342 expires 5l25l2021
Revised 07/15/2014 Expires5l2512021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
-,
INITIALS
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