HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. Z -
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: IAn SCANNED Permit Number: -C)0�9
BY RECEIVED
St. Lucie C0untY
J 0
Building Permit Application JAN 04 2019
ST. Luc rm
Planning and Development Services sT. Lucie County, P-rnrit�ting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
I PERMIT APPLICATION FOR: Shutter I
Address: 4200 N HIGHWAY AlA 1216
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 1216 AND LIND INTEREST IN COMMON ELEMENTS
Property Tax ID#: 1423-501-0192-000-2
Site Plan Name:
Project Name: Mobilio
Setbacks Front x Back: X
Right Side:
Install I accordion shutter and I roll shutter
UUIUUJId I WUIK LU Ulf IJCJ I UIJ I ICU uiiuCr LIM P121 [I] IL—LJ
E1HVAC Gas Tank E]Gas Piping
11 Electric Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 8,229.00
Lot No.
Block No.
Left Side:
Shutters 11 Windows/Doors
Generator E] Roof = Roof pitch
Sq. Ft. of First Floor: —
Utilities: 11 Sewer 11 Septic
Building Height:
CONTRACTOR:
Name Nieves Mobilio
Name: Michael Heissenberg
Address: 4200 N Al A #1216
Company: Expert Shutter Services
City: Hutchinson island State:FL
Zip Code: 34949 Fax:
Phone No. 860-841-6550
Address: 668 SW Whitmore Dr
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 I 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:
Not Xpplicable
MORTGAGE COMPANY:
X NotApplicable
Name: Tirteminc.
Name:
Add resS: 6355 NW 36th 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:
—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 Countri makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, ict 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 insp3cticin._J�
Vu ir,4end to obtain financing, consult with lender or an attorngy before
Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF:)+ I \ IrJi: < � COUNTY OF \.xXC'%e_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this\? day of 'V)CL' 20 \E�by I thisl2odayof —\Do— 20 \S— by
Michael HeissenbiM
Michael 11sissenberg
(Name of person acknowledging
(Name of person acknowledging)
�Siljnature of o ry Public- State of Florida
Oignature of No Pubfic-- State of Florida
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced—
Type of Identification Produced
. h Short a"h Short
Commission No. C�C_7111_4 '��5 MARY PUBLIC Commission No.GC-Aq2?A NOTARY PUBLIC
STATE OF FLORID STATE OF FLORID,
Revised 07/15/2014 n/*000 Expires 5/2512021 t-Milres 5/25/2021
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