HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U1-.1,1I1-� SCANNED Permit Number:.1�1)�Oy��
BY
- ., St. Lucie County
RECEIVED
Building Permit Application NOV 27 2018
Planning and Development Services
Building and Code Regulation Division
ST. Luele County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR Shutter C: ohad
PRQPOSED.tl PR0VL'MENT,:OCATIQN ;,. �,,. t
Address: 4250 N HWY A1A #408
Legal Description: OCEAN HARBOR SOUTH BLDG A UNIT 408 AND UND INTEREST IN COMMON ELEMENTS
Property Tax ID #: 1423-501-0032-000-3
Site Plan Name:
Project Name: Conti
Setbacks Front Back: x Right Side: Left Side:
Install 1 Accordion Shutter
Lot No.
Block No.
CONal RU_ CT {iN IN Jl21VIA ON;: , s
17 n ,
; .
Additionalworl(toDeperrorMeaun
ert is; permit — cneCK
all apply:
11HVAC Gas Tank
❑Gas Piping
�Shutters
_lectric
❑ Windows/Doors
EPlumbing
Sprinklers
Generator
1:1Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 6,734.00
Utilities:In Sewer OSeptic
Building Height:
Name Norma Conti
Name: Michael Heissenberg
Address: 3033 Stoners Ford Way
Company: Expert Shutter Services
City: Frederick State:MD
Zip Code: 21701 Fax:
Phone No.443-745-1161
Address: 668 SW Whitmore Dr
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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 52500 or more, a RECORDED Notice of Commencement is required.
160
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��UPPLEMEtUiAI:�CONSTR�ICTIOMLtEN LAW INEORMATIQiV
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
x Not Applicable)
Name: Tillecolnc.
Name:
Add reSS: 6355 NW 361h St Suite 305
Address:
City: Virginia Gardens
State: _FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X
Not Applicable
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 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 intend p obtain financing, consult with lender(�r an attorney before
commencing work ec vour Notice of Commencement. , /1 /) /
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ( I JQ'! COUNTY OF !I—* 1`I l C 1 P
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�dayof klotkQ 410 . 20 aby thisA5dayofp�(}11PYY1(!)pr,20 Aby
Michael Heisenberg Michael Hsissenberg
(Name of person acknowledging I (Name of person acknowledging )
(Signature of tifoxary Public State of Florida) ((Signature of of ry Public- State of Florida j
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NO.(ZV ��'60Li2. (Seal)
Revised 07/ 15/2014
Commission
Hal Short
OF FLORIDA
GG148342
NAAh Short
', NOTARY PUBLIC
Cormill GG148342
Expires 5/25/2021
xpires 25/2
21
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