HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
Date: SCANNED Permit Number: NO3.00-1I
BY
St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services AUG 0 2.2010
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residentialmt. Lucie county
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCA11C1N..-,"
Address: 3150 N Highway A1A 1002
Legal Description: TIARA TOWERS UNIT 1002-N
Property Tax ID #: 1425-610-0045-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: X
( Install 2 accordion shutters
Right Side: Left Side:
,M
Lot No.
Block No. _
CONSTRICTION INFORMATION:'°
• ``
-`
itiona wor to e
DHVAC ri
e orme un er
Gas Tank
t is permd— check
❑Gas Piping
a
apply:
Shutters
❑
Windows/Doors
0 Electric
0
Plumbing
[]Sprinklers
0
Generator
❑
Roof
F___1
Roof Ditch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,409.00
S Ft. of First Floor: _
Utilities:cnSewer 0Septic
Building Height:
OWNER/LESSEE: ''
CONTRACTOR:-. .
Name Jean Simmons
Name: Michael Heissenberg
Address:3150 N Hwy A1A #1002
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.
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
!I VaIUW U! wIuooc000 15 ;IZ3w of more, a nu.unutU nonce oT commencement is required.
1.SUPPLEM�TA'CONSTRUCTION=. .W N.e
Not
Name: Tiltem inc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 intendto obtain financing, consult with lender or an atto ney before
commencing work or r cor ' Your tice of Commencement. �i d
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF,1-1- 1 116e COUNTY OF a* I k ec a F
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisdayof ,AA 20 aby this -r--�lday of ,1,1 11, 1 ,20 _aby
Michael Heissenbirg Michael Hsissenberg
(Name of person acknowledging ) (Name of person acknowledging )
Personally Known " OR Produced Identification
Type of Identification Produced
Commission No. (�'TT61IL12SaJj (Seal)
' VA'- i1a1019i1anGR
(Signature of NotarG"P—ublic- Staie of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. �`Nix JSegl)dlelgn onort
NOTARY PUBLIC
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Revised07/15/2014 3C�§iq�}g;Camm#GG48342
`4ea 1r,� NCF 75t Fxciref 5125/2021
REVIEWS
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INITIALS