HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO
� MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /' /7 v/„ � Y
Date: (•oZ7 J b SCANNED Permit Numb V `G� J
BY
St. Lucie County
Building Permit Applicatio JUL 84 2018
Planning and Development Services Permitting De art
Building and Code Regulation Division ment
2800Virginia Avenue, Fort Pierce si 34982 St' Lucie County FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential r
PERMIT APPLICATION FOR: Shutter
PROP.OSEb IMPROVEMENT LOCATION- "
Address: 4180 N Highway A1A Apt 305B
Legal Description: OCEANIQUE OCEANFRONT (OR 2752-1842) BLDG B UNIT 305
Property Tax ID #: 1423-506-0094-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: X
Install 1 roll shutter
Right Side: Left Side:
Lot No.
Block No.
r
CONSTRUCI"ION INFORMATION;
�HVAC
U
Gas Tank
Electric
ElPlumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 2421.00
permit — cnecKau
appiy:
Gas Piping
�_ Shutters
Windows/Doors
Sprinklers
Generator
11
Roof
=
Roof pitch
S Ft. of First Floor: _
Utilities:"n Sewer ElSeptic
Building Height:
OWNER/LEES:
CONTRACTOR:
Name Robert Melcer
Name: Michael Heissenberg
Address:4180 N Hwy Al #305B
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
°SUPPL`E�i/IENTAL,CONSTRUCTION=1�Ehi LAW:INF0RMA7lON
uCalulmcn/ civulimccn: _ IVOL Hpplicabe MORTGAGE COMPANY: Not Applicable
Name: 7ltecu lnc. Na me:
Address: 6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: = 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 intend to obtain financing, consult with�len'der\or an attorneybfore
i
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF3�— t A A rAY' J COUNTY OF cesi- i A is} e
The for ping instrument was acknowledl;T�Pefore me
this ay of ,\ 1`\, 4 20 `�by
Michael Heissenbig
(Name of person acknowledging)
Personally Known `� OR Produced Identification
Type of Identification Produced
The forgoing instrument was acknowledged before me
this—Z3dayof t1Ul\ ,20A%_by
Michael Hsissenberg
(Name of person acknowledging )
of NotbrAPublic- State of
v
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. �sl1,Ar(-7SgZ � 1 na:eigh onon Commission No. -1) `i�c��y2 (Seal)
oF� °yNOTARYPUBLI ao�ARYq� naieigu Orion
o� omm#GG148342 �STATEOFFLORIDA
Revised07/15/2014 4151eFyriep5/?5/2021 7Comm#GG148342
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