HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �1�'1 ��� Permit Number: %ids_C qLl
_. SCANNED
BY
St. Lucie Coun RECEIVED
Building Permi�Applicatio
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
MAY 17 119
ST. Lucie County, Permitting
Residential II
PERMIT APPLICATION FOR: Shutter _ Co naO
Address: 5163 N HIGHWAY A1A 820
Legal Description: OCEAN HARBOUR CONDOMINIUM D- UNIT 820
Property Tax ID #: 1411-708-0039-000-0
Site Plan Name:
Project -Name: Leonard- -
Setbacks Front Back: X
Install 1 accordion shutter
—Right Side: X Left Side:
.. 3„
Lot No.
Block No.
c:UN5ERUCt'ION INFORMATIQW
a
rtlonwar to e e orme under
t Is per check
a app y:
�HVAC Gas Tank
❑Gas Piping
Shutters
❑
Windows/Doors
Electric 0 Plumbing
❑Sprinklers
1:1 Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 7,364.00
Utilities:Sewer
Septic
Building Height:
01NNERJLESSEE:
CONTRACTOR ...•;...,
Name Timothy H Leonard
-
Name: Michael Heissenberg
Address:50 Leonard LN
Company: Expert Shutter Services
City: Paris State: TN
Zip Code: 38242 Fax:
Phone No.731-336-9610
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
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Si1PWMENTAU WSTAb.c1ON IIENiLAW INEORMATION
DESIGNER/ENGINEER: _ Not Applicable
=.
MORTGAGE COMPANY Not Applicable
Name: Tilteminc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
City: State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 resultinyour paying -twice for----
improveme it�o your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspe . Ifxou inten -to obtain financing, consult with lender or an attorney b e
commenciae-acor r reco HidE vnur Antirp of rnmmonromcnf
as Agent for Owner
STATE OF FLORI�Q STATE OF FL
COUNTY OF �L��Q COUNTY OF
The forgoing instrument was acknowledge efore me
this _a day of 20 Kby
Michael Heissen4g
(Name of person
acknowledging )
am1A/)V\ I /1 `� k
(Signature of Notary Public -State of Florida )
Personally Known � OR Produced Identification _
Type of Identification Produced_ r Shanon O'
�O08 NOTARY F
Commission No 0 a STATE OF
Revised 07/15/2014
The forgoing instrument was acknowledge efore me
this a day of II1J 20 6 by
Michael Hsissenberg
(Name of person acknowledging)
i" )ti J.I JI e A
(Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
a C
ommission N NOTARY PUBLIC
STATE OF FLOI
?Comm# GG25eo3
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