HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County
m I i
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
Address: 3920 N Hwy A1A #304
Legal Description: Ocean Pearl Condominium Unit 304
Property Tax ID #: 1423-505-0008-000-8
Site Plan Name:
Project Name: Goldman
Setbacks Front Back: x
I Install 7 Accordion shutters
Right Side: x
gUS- n�G�
Residential
Left Side: x
�C9NSTRUCP, Q INFORATION:
LJHVAC LJGas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,250.00
RECEIVED
MAY-2 2 7nfa
Permitting Depann
St, Lucie Count
Lot No.
Block No.
pcnnu—uiecnau apply:
Gas Piping 2 Shutters Windows/Doors
Sprinklers 11 Generator Roof = Roof pitch
S Ft. of First Floor:
Utilities:T]Sewer[]Septic Building Height:
` w' NERJLESSEE =
GONTRACT.OR:`a '
Name Lester Goldman
Name: Michael Heissenberg
Address: 3920 N A1A Unit 304
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 561-951-7883
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
it vaiue or construction is >zsuu or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:_ Not Applicable
Name: Them Inc.
Name:
Ad d ress: 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 inten to obtain financing, consult withe r lor an atto ey before
commencine work op-reeordirr�Tvour Notice of Commencement.
Signature
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF53— l 1 lr[ [ I COUNTY OF l XAC A -If
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'-) day of M I 20 kSkby this �1 day of (-k,,A_, 20 12— by
Michael Heissenle&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
of Florida )
Personally Known Ili OR Produced Identification
Type of Identification Produced
Commission No.& - 2- (Seal)
Sp6Yao_ rfalegh Short
of Notjry Pub7c- State of
Personally Knowii OR Produced Identification
Type of Identification Produced
Commission No.(w�q?_ (Seal)
takien_ laieigh Short
! STATE OFFLORIDA r �STATE OFFLORIDA
Revised07/15/2014 iComm#GG148342 y =Comm#GG148342
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