HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONm
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:' l l SCANNED Permit Number:
BY
® St. Lucie County ERECEIVED
Building Permit Application9
Planning and Development ServicesBuilding and Code Regulation Division mitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter II
.PROPOSED.1MPROVEMEN1LOCATION:-
Address:'14-a-O S. 0 RD-n t)v. %k. —ktq
Legal Description: 5ond t)o►kav \/ikk&S ConcAnyyViyl1 um f - Lk."it -t\lk AYKA LAY\ck 9v-b- 12DAr'.-
shay.L�n c *" hm tz-lz:yykith Cote ISq�--►�sa
Property Tax ID #: _ ,3S-aa- ko0`k - 003Ci . 000 • g Lot No.
Site Plan Name:
Project Name: S&\k&%— A_V
Setbacks Front Back:_ Right Side: Left Side:
DETAILED DESCRIPTIONOF'WORK:
1n�}�,ll I a�ccrra;o✓� cSht,�-Its/ .
,CONSTRUCTION INFORMATION; `.
11HVAC Gas Tank ❑Gas Piping
11 Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ opt, 39A. OCR
Block No.
Shutters ❑ Windows/Doors
Generator Roof = Roof pitch
SgI�Ft.� of First Floor: _
Utilities: LJ Sewer O Septic
Building Height:
:OWNER/LESSEE:'
CONTRACTOR:' _
Name Q%MV t,vo 1C SLI^k it rwb-V
Name: Michael Heissenberg
Address:]y ao S QLQon Dy,. ArrF. 1%+
Company: Expert Shutter Services
City: AXASRY1 font i1 State: jt,
Zip Code: 349S-1 Fax:
Phone No.51A - 2kok - 3 fT'y
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 $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION,LIEN LAW INFORMATION: ,r
DESIGNER/ENGINEER: _ Not Applicable
Name: rltewInc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip:33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: z Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend;o obtain financing, consult with lender or an attorney before
commencinia work or cor I r Notice of Commencement. �Y- /
STATE OF FLO DA STATE OF FLORff
COUNTY OFT. I la' COUNTY OF -I l to P
The f��J$going instru e t was acknowledged before me
this aC day of , \ 20 -tl-by
Michael Heissenbhrg
(Name of person acknowledging)
a2: ct b
(Signature of Notary Public- State of Florida )
Personally Known V/ OR Produced Identification
Type of Identification Produced
Wy anon O'Shea
Commission NO&U0g o<a^ _NOTARYPUBLI(
c STATE OF FLOR
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this day of & _ �_'L _, 20 4 by
Michael Hsissenberg
(Name of person acknowledging )
ww b`qu_�
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification roduced
Commission
Expires 9/12/2022
I O'Shea
Y PUBLIC
OF FLORIi
Expires 9/12/2022
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