HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
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St. Lucie County
Building Permit Application8
Planning and Development ServicesBuilding and Code Regulation Division r�M
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter — C o,naa
Address: 4250 N HWY Al #1002
Legal Description: OCEAN HARBOR SOUTH BLDG A UNIT 1002 AND UND INTEREST IN COMMON ELEMENTS
Property Tax ID #: 1423-501-0074-000-9
Site Plan Name:
Project Name: Rodriguez
Setbacks Front Back: x
Install 1 roll shutter.
�HVAC Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,127.00
Lot No.
Block No.
Right Side: Left Side:
jermit — cnecK all
apply:
3asPiping
_Shutters
WindowslDoors
Sprinklers
Generator
Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer[]Septic
Building Height:
OUIVER%LESSEE aF fi
CONTRACTORjig
Name Maritza Rodriguez
Name: Michael Heissenberg
Address:875 NW 155th Terr
Company: Expert Shutter Services
City: Pembroke Pines State: FL
Zip Code: 33028 Fax:
Phone No.954-205-4894
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.
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DESIGNER/ENGINEER:
Name: nitecuina.
_ Not Applicable
MORTGAGE COMPANY: .
Name:
Not Applicable
Ad d resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
Not 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 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 inspect}}t qm. IL�yyou int"e��dd to obtain financing, consult with lei ar or an attorney before
commencine work o reY�difi z vouf.Notice of Commencement. / 1 '�-J /
as
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OFF}- I. A 1 ( A�e I COUNTY OF IJJ6e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '2C)dayoft3Ve0AV)Pk . 20 XJby this _M day of 20 ilby
Michael Heissenbim Michael Hslssenbelg
(Name of person acknowledging) (Name of person acknowledging )
re of N' Ary Public -State of Florida )
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. C'IC- wTI )q (Seal)
Commission No. L4 2
(Seal)
NOTARY PUBLIC NOTARY PUBLIC
Revised 07/15/2014 s
STATE OF FLORIDA STATE OF FLORIDA
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INITIALS