HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �_7 SCANNED Permit Number: o P 3
BY
St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT APPLICATION FOR: Shutter
I11PROPOSED=IMPROVEMENT LOCATION;
Address: 18 LAKE VISTA TRL 106
Legal Description: VISTA ST LUCIE BLDG 18 UNIT 106
Property Tax ID #: 3422-500-0244-000-2
Site Plan Name:
Project Name: Johnson
Setbacks Front Back: _
Right Side: X
Left Side:
APR 16 2019
Resl�'P
w
Lot No.
Block No.
(sDETAILEDrDESt RIPTiON;OF WORK ZS) '
Install 3 accordion shutters
:CONSTRUCTION INFORNIATION:i `=
❑HVAC ❑ Gas Tank
❑Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,132.00
Jcn ura —uIcLn au apply.
SasPiping _Shutters
Sprinklers Generator
S Ft. of First Floor: _
Utilities:12 Sewer ❑ Septic
❑Windows/Doors
❑ Roof = Roof pitch
Building Height:
OWN ERAESSEE,' J
CONTRACTOR:
Name Ralph E Johnson
Name: Michael Heissenberg
Address:4224 Aberfoyle AVE
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No. 814-232-0817
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@aol.com
State or County License: 16572
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPL�MEN tAL;CONSTRUCTION LIEN LAW INFO RMATION
DESIGNER/ENGINEER:
Name: Tiitecolnc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
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 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 inspectt�. If you intend to obtain financing, consult with lender or an attorney before
commencing work o recoYdiMvour tice of Commencement. �1 � O
as
STATE OF STATEFL
COUNTY OFOot-1 6Q— V COUNTOYOF02St wcA le
The forgoing instrumen wa acknowledg efore me The forgoing instrument was acknowledged before me
this � day of 20 by this 46day of ULI I 20 L�_ by
Michael Hetssenb�g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
anon Cistred
Commission NAOT-0� t NOTARY PUBLIC
STATE OF FLORII
Revised 07/15/2014
Expires
I mm 411
(Signature of Notary Public- State of Florida )
Personally Known VPuOR Produced Identification
Type of Identification Produced
�j Sharon O'Shea
Commission N c w _ NOTARY PUBLIC
t _ STATE OFFLORIi
Expires
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