HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-2F
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �{-1 (o SCANNED Perm"it Number. ���
€ ... BY RFCFivFo St. Lucie County AP
Building Permit Application PermittlR 161819
lanning and Development Services uilding and Code Regulation t
on Division
Lu e C u By snt
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
I'P,ROPOSED-IMEROVEMENT LOCATION::
Address: 3209 S LAKEVIEW CIR 8102
Legal Description: THE SANDS -SECTION I -PHASE II BLDG 8 APT 8102 AND
PRO-RATA SHAREIN COMMON ELEMENTS
PropertyTax ID #: 1425-605-0014-000-6
Site Plan Name:
Project Name: Hughes
Setbacks Front Back: X Right Side: Left Side:
Lot No.
Block No.
I'U IAJILEP 1LSCRIPTIQMOF WORK `_ II
Install 2 accordion shutters
OHVAC Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,703.00
perm¢- cnecKau apply:
Gasp. - _Shutters
Sprinklers Generator
5 Ft. of First Floor: _
Utilities.Septic
QWindows/Doors
Roof = Roof pitch
Building Height:
OtiNN ER%LESSEE:`
°CONTRACTOR:
Name Karen M Hughes
Name: Michael Heissenberg
Address:4029 Susan or
Company: Expert Shutter Services
City: Williamsville State: NY
Zip Code: 14221 Fax:
Phone No.716-574-9774
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
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
UPPLEMEfVIACCbNSTRUCTIONLIEN.LAWINFORMATION>
DESIGNER/ENGINEER: _ Not Applicable
Name: ritecoInc.
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 6355 NW 36th St Sure 305
Address:
City: Virginia Gardens State: Fl
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
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 inspection. If you intendlo obtain financing, consult with lender or an attorne'before
commencine work or raeerdine vour Notice of Commencement. !�
as Agenyfor Owner I Signature
STATE OF FLO A STATE OF FL IDA Gn
COUNTY OF t u6e - COUNTY OF (I i C
The for oing instru nt was acknowledge efore me The forgoing instr�e
�nt�w s acknowledged fore me
this day of 20by this day of E 17a/ I' I 20 by
Michael Helssen4g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notaryy Public- State of Florida )
Personally Known V OR Produce ldentgj AW hea
Type of Identification Produced ,ynTARY PUBLIC
S STATE OF FLORIE
Commission No Comm# GG25803E
Wtag Expires 9/121202
Revised 07/15/2014
O n1U/0-
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identific tion
Type of Identification Produced A&# whano�he,
Commission
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