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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 I -I' I SCANNED Permit Number: BY o St. Lucie County Building Permit Applicatio Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x NOV 0 9 2018 ST. Lucie County, PERMIT APPLICATION FOR: Shutter II pR6Ft05ED IMPROVEMENTLOCATION:x u Address: 2700 N Highway A1A #807 Legal Description: Aquanique Ocean Club Unit 807 Property Tax ID #: 1425-704-0057-000-3 Site Plan Name: Project Name: Hoffman Setbacks Front x Back: Right Side: Left Side: Install 2 accordion shutters 11HVAC Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 5,000.00 Lot No. Block No. nn. -uIecrc do Piping _Shutters dppiy: ❑Windows/Doors nklers Generator ❑ Roof = Roof pitch S Ft. of First Floor: _ Utilities: Sewer O Septic Building Height: OWNERf LESS6E: » a .. a -CONTRACTOR:=' Name Lori Hoffman Name: Michael Heissenberg Address:2513 Carrico Court Company: Expert Shutter Services City: Saint Johns State: FL Zip Code: 32259 Fax: Phone No.772-208-0850 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 u adore or construcuon is >zouu or more, a KitLUM to Notice of commencement is required. TlCC).- UtNUIV CK/ CIVbuvttK: _ Not Appucartie Name: Tiitecolnc. MORTGAGE COMPANY: = Name: Not Applicable Ad d ress: 6355 NW 36th St Suite 305 Address: City: Virginia Gardens State: FL Zip: 33166 Phone: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: _Not Name: 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 antl 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. Ifs intend to obtain financing, consult with lender or an attorney before ... as STATE OF FLORIDA STATE OF FLORIDA v COUNTY OFa !,Al('. P COUNTY OF F— ' I, A 1 Ca`P The forgoing instrument was acknowledged before me this'5 day ofV\Ja)eMOPY . 20 JBby Michael He1ssen4m (Name of person acknowledging ) State of Florida ) Personally Known V OR Produced Identification Type of Identification Produced Commission N0�333g2. (Seal) The forgoing instrument was acknowledged before me this day of 1VOQf D-CY , 20 �00 by Michael Hsissenberg Name of person acknowledging ) of NAtatly Public -State of Florida ) I `-' Personally Known OR Produced Identification Type of Identification Produced Commission No. (Seal) is Haleigh Short Revised 07/15/2014 S NOTARY PUBLIC ��c STATE OF FLORIDA II STATE OF FLORIDA a Comm# GG148342 i WoE Ex plr s 5/25/2021 REVIEWS FRONT ZONIn!�0 G ��(�1 PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS