HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 19 SCANNED Permit Number: (3 oJ50
BY
St. Lucie County
Planning and Development Services Building Permit Application JAN 0 4 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
I PERMIT APPLICATION FOR: Shutter III
I -,PROPOSED IMPROVEMENT LOCATION:.,
Address: 4160 N HWY AlA #1306
Legal Description: OCEANIQUE OCEANFRONT (OR 2752-1842) BLDG A UNIT 1306
Property Tax ID#: 1423-506-0083-000-0
Site Plan Name:
Project Name: l3reitweiser
Setbacks Front X Back:
I Install 1 Roll Shutter
Right Side: Left Side:
Lot No.
Block No.
1-bbN'S�tRU�ftl0`4
IN FOR M`ATibN.
kilelionalworKtOrie
ertormea unclerthis
DHW Gas Tank
permit —check
E]Gas P1.
all
appi
2 Shutters
[]Windows/Doors
Electric Plumbing
OSprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S'( Ft of First Floor:
Cost of Construction: $ 1,944.00
Utilities'.
n
Sewer 1:1 Septic
Building Height:
"'��'-CONTRACTOR:
Name Donald & Debbie Breitweiser
Name: Michael Heissenberg
Address: . 4160 N Hwy AIA #1306
Company: Expert Shutter Services
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No. 727-244-5840
Address. 668 SW Whitmore or
Cit - Port Saint Lucie State: FL
'y.
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holderon nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
It value ot construction is �2500 or more, a RECORDED Notice of ornmencementis required.
P-15.-
'� 71111M
DESIGN ER/ENG I NEER:
Name: Triewinc.
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Add resS: 6355 NW36th 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:
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conXict with any applicable Home Owners Association rules, bylaws or and covenants that ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions M Ich may apply.
w
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. lfgou intend . 0 obtain financing, consult with lender or an attorney before
P
commencing work or r2c6rc P of Commencement.
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF!�� �__UC — I _x
_�A -e COUNTY OF ':�4 U IC' -f
The f ing instrument was acknowledged before me
ca_(D ay of
this � d 20 \Shy
Michael HeJswnbkg
(Name of person acknowledging
Personally Known "I' OR Produced Identification
Type of Identification Produced
Haleigh Short
Commission No. 0-nG, k�_[ IR NOTARY PUBLIC
M111 STATE OF FLORI
Revised 07/15/2014
Expires 5/25/2021
The forgoing instrument was acknowledged before me
this \Z day of i��(— - 20 —\a by
Michael Isissenberg
(Name of person acknowledging)
of Florida )
Personally Known — '' OR Produced Identification
Type of Identification Produced
_�h HaWQh Short
Commission No. I)IOTARY PUBLIC
I acal al �5A %STATE OF FLORII
Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS