HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 �' ���
Date: SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division q OPq.. iq
2300 Virginia Avenue, Fort Pierce FL 34982 ,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
Address: 3150 N HWY A1A #1403
Legal Description: TIARA TOWERS UNIT 1403-N
Property Tax ID #: 1425-610-0066-000-1
Site Plan Name:
Project Name: Poirer
Setbacks Front Back: x
Install 3 accordion shutters
Right Side: Left Side:
Lot No.
Block No.
OHVAC
U Gas Tank
❑Gas Piping
I V J Shutters
❑
Windows/Doors
0
Electric
0
Plumbing
Sprinklers
0 Generator
0
Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,795.00
S Ft. of First Floor:
Utilities.nSewer 0Septic Building Height:
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iaa ,., �5�
COtTRCTYR at
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Name Susan Poirer
Name: Michael Heissenberg
Address:5718 NW 50th or
Company: Expert Shutter Services
City: Coral Springs State: FL
Zip Code: 33067 Fax:
Phone No. 954-261-0472
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@aoLoom
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: _
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: ritecoinc.
Name:
Add tress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City: State:
Zip:33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: =
Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 inte�,nd to obtain financing, consult with lender or an attorneybefore
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFa* w,C_ a COUNTY OFFy Ja6e
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this ' day oft�1tiVPYV1�3CV .20�Aby this Mday of't9(')QPVNA 0Aby
Michael Heissenb6 Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
of No"Public- State of Florida )
Personally Known J OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
CommissionNo.G(,-iIU4�14Z (Seal) Commission No. ea4aleigh Short
Haleigh Short NOTARY PUBLIC
STATE Or rl cl-l[)A
STATE OF FLORIDA = Comm6 GG148342
Revised 07/15/2014 1 Cot vn# GG148342 ip E 1 a Expires 5/25/2021
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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