HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: �lS(St0 �6 /
- St. Lucie County
RECEIVED
Building Permit Application
Planning and Development Services
�uN 2 iota
Building and Code Regulation Division
Permitting Departm®n€
2300 Virginia Avenue, Fort Pierce FL 34982
St, W06 Countv
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PRQPOSED IMPROVEMENT LOCATION::', -
Address: 4200 N HWY A1A #316
Legal Description: Ocean Harbor South Bldg B Unit 316
Property Tax ID #: 1423-501-0120-000-7
Lot No.
Site Plan Name:
Block No.
Project Name: Hunt
Setbacks Front x Back: Right Side: Left Side:
:".
:DETAILED DESCRIPTION OF WORK61,
Install 1 Roll Shutter
CONSTRU CTION ',IN FORMATION: 4 .
itiona work to De nerrormed under tispermit—check a
apply:
❑HVAC Gas Tank ❑Gas Piping
_Shutters
❑ Windows/Doors
❑Electric ❑Plumbing ❑Sprinklers
❑Generator
❑Roof ❑ Roof pitch
Total Sq. Ft of Construction: S
Ft. of First Floor:
Cost of Construction: $ 1,977.00 Utilities:n
Sewer ❑ Septic
Building Height:
;OWNER/LESSEE: u" : °
CONTRACTOR:
Name Kenneth Hunt
Name: Michael Heissenberg
Address: PO BOX 104
Company: Expert Shutter Services
City: Ray Brook State: NY
Zip Code: 12977 Fax:
Phone No.518-524-6600
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 of construction 15 5Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
INFORMATION
DESIGNER/ENGINEER:
Name: riteminc.
_ Not Applicable
MORTGAGE COMPANY: X
Name:
Not Applicable
Ad d reSS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x 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 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
8iir commencine work or recore vour 20tice of Commencement.
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF \ L 6 P COUNTY OF �1- t ("k e
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of , ll LC 20 Sby this day of , 20 \Q by
Michael Heissenb&9 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
((Signature otary Public- State of Floridaature of LaryPublic- State of Florida )
Personally Kn wn V OR Produced Identification Personally Known ✓icOR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GGI LN3 2- (Seal) Commission No.6P ky4p S99' Igrl Snort
ntnRra _ naeigh ;Snon �T Ti NOARYPUBLIC
x !-:STATE OF FLORIDA � �lO nWGG148342
Revised07/15/2014 =Comm#GG148342 r/Ner•g1� Expires 5/2512029
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS