HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (
_- \ ` SCANNED Permit Number: -
„_� BY RECEIVED
St. Lucie County
Building Permit Application MAY 01 2019
Planning and Development Services FsT.ucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-155.3 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION: ;R
Address: 5--4a) N. V�rA1nu." !AAA
Legal Description:-Rna. aiviut.wt GY\`-V&, ocoa.n it (UYL IV57-Golq� uk\uk 1\•c- <<�2
Property Tax ID #: _ �` IaS • 156 • 003ci- 000 • a. Lot No.
Site Plan Name: Block No.
Project Name: IZoSkw\VJaCJv\
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION'.OF WORK:,
�SiTx\t 1 I�Ceavtl�.cM Slnu.ttu�_
[CONSTRUCTION INFORMATION:
rtiona wor to e ertormed under
F-1HVAC
fIspermit-c eclZ
a
apply:
❑
Gas Tank
Gas Piping
Shutters
Windows/Doors
11 Electric 0 Plumbing
OSprinklers
1i Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S(7I—F-t-.�
of First Floor:
Cost of Construction: $ U.a.5R •
Utilities:
Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name )M*ieSnjoLPA �LoS.f_n(OQtt/1
Name: Michael Heissenberg
Address:30tno W. AAA ltL
Company: Expert Shutter Services
City: grvk Pie v u- State: PL.
Zip Code: 349401 Fax:
Phone No. 0109- LAICI • t-t-1-1 1
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 (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON$TRUCTION"LIEN„LAIN INFORMATION,
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiitecolnc.
MORTGAGE COMPANY:
Name:
X Not Applicable
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: = 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 intend to o4Vin financing, consult with lender or an attorneyDefore
Signature
STATE OFIFLO DA STATE OF FLO D V
COUNTY OF X. L_LLCIe COUNTY OF��P.
The going instrument was acknowledgegefore me
this day of la:Qri 1 20 I by
Michael Heissenb&g
(Name of person acknowledging I
(Signature of Notary Public- State of Florida j
Personally Known OR Produced Identification
Type of Identification Produced „mot
Commission N iXsX+ V26
Revised 07/15/2014
The for oing instrument was acknowledged before me
this day of t-y�/�i, 20 by
Michael Hsissenberg
(Name of person acknowledging)
aftovL of �
(Signature of Notary Public- State of Florida I
Personally Known V OR Produced Identification
Type of Identification Produced
NOTARY PU LIC Shanon O'Shea
STATI mission NoGG25ell3kA%I;STATEOFFLOI
NOTARY PUSLI
Comm# GG2 8038
Expires
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