HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �31 \,� SCANNED Permit Number:
1111110 BY
0
r�Ki '_'j St. Lucie County ERECEIVEDBuilding Permit ApplicationzotsPlanning and Development ServicesBuilding and Code Regulation Division Permitting
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PRO,POS D=(NiF'ROUWENT LOC'A,'
Address: 3200 N A1A #201
Legal Description: SEA PALMS UNIT 201 AND PRO-RATA SHARE IN COMMON ELEMENTS (ASSD AS COMMON PROPERTY
Property Tax ID #: 1425-600-0007-000-9
Site Plan Name:
Project Name: Zito
Setbacks Front Back:
Install 1 accordion shutter
Right Side: Left Side:
Lot No.
Block No.
LVNYI,KUty#ICJ11j'INrUKIVIAIIDN
a
x
Y
rtiona
workto
e e orme n
uelt—c
ert isprm ec a
apply:
�HVAC
Gas Tank
[]Gas Piping
r/ Shutters
❑
Windows/Doors
Electric
OPlumbing
❑Sprinklers
Generator
Roof ' = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 7,685.00
S Ft. of First Floor: _
Utilities: Sewer O Septic
Building Height:
OWNERjLEsSEEt
F',z.
,COIVTRACfOV
Name Joan Zito
Name: Michael Heissenberg
Address:3200 N AtA #201
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 850-528-7720
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
n vame or construction is >zouu or more, a xtcuxutu notice or commencement is required.
�E Er YZ k T r( { ,,r, Ts'N�
u: S a w s�m,f,2 ,. "2^JCmdi Puiw.io-°'a.d..
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecnlnc.
i1 / #�% _ #- I µµ....����� a!da ''f+�_ Y kP % 4 �4 'ajr
.!T '?L"Y sT4 ^!i3 ».. x LYau W s Xv'k" "d 6 hxS�e ari a 21Al U+ d
MORTGAGE COMPANY:_ Not Applicable
Name:
Address; 6355 NW 3M St Suite 305
Address:
City: Virginia Gardens State: rL
Zip; 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 you intenq to obtain financing, consult with lender or an attorney before
commencing work or recorrJine vourJ90tice of Commencement. 4
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St I,C.CC.�< COUNTY OF S I A_.t['AP
The forgoing instrument was acknowledged before me
this _?,5day of _OC i-O 19(�-Y . 20 Aby
Michael HeissenbiM
(Name of person acknowledging)
The forgoing instrument was acknowledged
before me
this Zf>dayof CY--+0V,_7-CY 20 Eby
Michael Hsissenberg
(Name of person acknowledging )
ASignature of No to Public- of Florida ) (Fignature of N Public- State of Florida)
1Personally Known ✓ OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Sall. h Sh Commission No. Gi G_0L 0 ' 4 Z (Seal)
a s _ ort
^' a OF FLORIDA NOTARY PUBLIC
Revised 07/15/2014 iy 1 e Cow# GG148342 STATE OF FLORIDA
Expires 6r9aron�. ? Comrrde Qc, n.o -
Expir
5/25/20
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS