HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / X 11)10 1 - 0 19
Date: / 'F SCANNED Permit Nu b FIP21/6m;4 r;%7 --
Ift 9 %XA LE 13 V10 OF 11
BY D
St. Lucie County SEP 11 2018
Planning and Development Services Building Permit Applicatio Permitting Department
St. LUcie County, FL
Building and Code Regulation Division
2300 VirginiaAvenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
Address: 3200 N HWY AIA #503
Legal Description: SEA PALMS UNIT 503 AND PRO-RATA SHARE IN COMMON ELEMENTS
PropertyTax[D#: 1425-600-0039-000-2
Site Plan Name:
Project Name: Honeycutt
Setbacks Front Back: x
I 00AIL-ED 6EkkIPTION'OF Wo
Install 1 Accordion Shutter
Right Side:
Left Side:
Lot No.
Block No.
1', Ct9j
INFORM ATION:
I ,
, : , , I I
,,�R"Ofl
t� i to De
E1HVAC MGasTank
rformea unclertnisperm
it — crieck
E]Gas Piping
all
apply:
2
Shutters
Windows/Doors
E]Electric El Plumbing
[]Sprinklers
Ilenerator
1-1
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft of First Floor:
Cost of Construction: $ 861.00
Utilitiesll
Sewer
OSeptic
Building Height:
C,yV,NER/LES�EE:_.',
CONTRACTOR:
Name Brenda honeycutt
Name: Michael Heissenberg
Address: 3200 N AIA #503
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-318-9067
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 feesimple'ritle Holder on next page (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
ir vaiue or construction is $zbuu or more, a RECORDED Notice at Commencement is required.
'IiO
v
DESIGNER/ ENGINEER:
Not Applicable
MORTGAGE COMPANY:
X N , ot Applicable
Name: Tiltecoinc.
Name:
Ad d resS: 6355 NW 36th St Suite 305
Ad dress —:—
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
—
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X NotApplicable
BONDING COMPANY:
Applicable
Name:
Name:
—Not
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 Court makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 171ict 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
commencing work or recordMR vourJWotice of Commencernprit-
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFI_�'�V COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this4;?'A day of fM - L)�',+ , 20 this_oqdayof 20 Aaby
Michael Helssen4m
Michael Hsissenberg
(Name of person acknowledging
(Name of person acknowledging
A, C-7�1
tSignature of N 4a PubliC--State of Florida
I(Signature of No
a -Public- State of Florida)
Personally Known V/ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission NoGalqa3L1
Haleigh Short I Commission
NOTARYPUBLIC
n3leigh Short
NOTARY PuBLIC
Revised 07/15/2014 !P'�* Coff" GG148342 , , ' 4 cor� �'Gr�UKILJA
'AlffOW Expires 5/25/2021 / WEI ir EXpireS 148342
51261—
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
INITIALS