HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONn
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCAgN1NED Permit Number: — IM 0
St. Lucie County
RECEIVED
Building Permit Application
Planning and Development Services JUN 2 8 7018
Building and Code Regulation Division Permitting De a
rtm
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Countyent
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter III
( -,rKUFlJbLU 1MP.RUVEMENT, LOCATION'
Address: 4949 N Hwy Al A #205
Legal Description: Breakers Lan
Unit 205
PropertyTax ID #: 1414-602-0082-000-0
Site Plan Name:
Project Name: Robinson
Setbacks Front Back: x
Right Side: Left Side:
Lot No.
Block No.
DTQILED DESCRIPTION OF;WARK: "° 1
Install 3 Accordion Shutters
CWNSTRUCTIONi, INFORMATION:
Acianionai worK to ne erformed
under
tispermit—c ec
a
apply'.
❑HVAC
Gas Tank
❑Gas Piping
Shutters
❑ Windows/Doors
❑Electric ❑ Plumbing
[]Sprinklers
❑ Generator
❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
S(]i —F—t.� of First Floor:
Cost of Construction: $ 1,770.00
Utilities:
Sewer
Septic
Building Height:
1'OWNER/LESSEE:
CONTRAGTORI',
Name S M Boris Robinson And Tamela Robinson
Name: Michael Heissenberg
Address:4949 N A1A#205
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-834-5828
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 or construction is pLbUU or more, a KhLUK1JW Notice or Lammencement is required.
SUP P'[ EM LENTALLONSTRUCTION LIEN LAW {NFOR IVIATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecolnc.
MORTGAGE COMPANY:
Name:
x Not Applicable
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip:33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
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 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 intepfJ to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFS}- l J k6( COUNTY OFF✓)- W-C-A if
The fnor oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this J-.� day of , ja f)5—, 20 _by this —ka day of , )U CiC- 20 Aa by
Michael Heissenbirg Michael Hslssenberg
(Name of person acknowledging) (Name of person acknowledging j
(Signature Ttary Publi/c-State of Florida) {Signature of tary Public- State of Florida )
Personally Known _ OR Produced Identification Personally Known ` OR Produced Identification
Type of Identification Produced ��77 Type of Identification Produced f
CommissionNo.�L (RYtissonNOTARYP BLICHaemissionNo.�iC`1��—rZ. �`pRYI)f ria,ei n6hort
4g
" Snir �p NOTARYPUBLI
WRIDA
W = Comm# GG148342 c STATE OF FLO
Revised07/15/2014 �N..1J Expires5/2512021 TNeF1e�- Comm#GG148
Expires 5/7.F1q
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
( Q
COMPLETE
1 j�
INITIALS