HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFQ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \4% SCANNED Permit Number:
�. St. Lucie County
Building Permit Application
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
PERMIT APPLICATION FOR: Shutter
—GM
NOV 2 72018
ST. Lucie County, Permitting
Address: 5155 N HWY A1A #414
Legal Description: OCEAN HARBOUR CONDOMINIUM C- UNIT 414 AND UNDIV SHARE IN COMMONELEMENTS
Property Tax ID #: 1411-707-0018-000-4
Site Plan Name:
Project Name: Wallace
Setbacks Front Back: Right Side:
I Install 2 Accordion shutters
0HVAC IJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 806.00
Left Side:
nu—urecrc du dppry:
Piping Z_ Shutters
nklers ElGenerator
_ S Ft. of First Floor: _
Utilities: Sewer o Septic
Lot No.
Block No.
Windows/Doors
0 Roof = Roof pitch
Building Height:
gOUtNER/L'ESSEE
`CONTR'ACTOR
r .: r
Name Jeanne Wallace
Name: Michael Heissenberg
Address:4958 Edgewood Road
Company: Expert Shutter Services
City: Doylestown State: PA
Zip Code: 18902 Fax:
Phone No. 772-242-1108
Address: 668 SW Whitmore Dr.
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
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: Haleigh@ExpertShutters.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
15
SUPPC EiVI�NTAL`CO1STFUCTI0IV
LIEN "FORMATION r
'_411
DESIGNER/ENGINEER: _
Name: Tiheminc.
Not Applicable
MORTGAGE COMPANY: x
Name:
Not Applicable
Address: 6355 N W 36ih St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
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 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 recording vour Notice of Commencement. �1 —
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF!a* l k a(t P COUNTY OF 4si W(.tF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _\Sday of QDQ M10fV- . 20 aby this AS_ day of I,)mPPYIne r .20 1'� by
Michael Heissenbim Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Mary Public- State of Florida) (Signature of NIo ary Public- State of Florida )
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.c C Z (Seal) Commission No. C—i(nIgZ.3gZ (SeiQI h Short
Haleigh Short NOTARY PUBLIC
NOTARY PUBLIC
STATE OF FLORIDA Or FLUKIIJA
Revised 07/15/2014 •� 9 Canm#GG148342 'a g Comm# GG148342
e tdt Exoires 619arvrra4 e? Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
INITIALS