HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
r BY
it m St. Lucie County Jtly.
25ZM
Building Permit Application Permittin'9
Planning and Development Services 3t. Ltrate Caarrtment
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 12 Lake Vista Tr Apt 103 Port St Lucie, FL 34952
Legal Description: VISTA ST LUCIE BLDG 12 UNIT 103 (OR 3130-1
Property Tax ID #: 3422-500-0157-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Wolfe
Setbacks Front X Back: X Right Side: X Left Side: X
t N +o- cv ,�.i p msr .tF e {�,�y �9,�. t � i #,;ga..f' '� �s' as ',,,� �'-`ro.�' ✓"tie4* 3Y „y" +�. i� * -
m,�,I��L!-M
Install 4 Accordion Shutters t
ON5RUTIC7 INFOIi14 AT)ON- 5ts..5 h` Ex f xa-�
Mona wor to e e orme un ert ispermlt—c ec a apply:
HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1,647.00 Utilities:5ewer ❑Septic Building Height:
gWNERIIESS� : r
a._• e
ONTR IGTOR t _
Name Michael F Wolfe
Name: Michael Heissenberg
Address:- 12 Lake Vista Tr Apt 103
Company: Expert Shutter Services
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-577-0158
Address: 668 SW Whitmore or
City: Port Saint Lucie
Zip Code: 34984 Fax.
Phone No. 772-871-1915
State: FL
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Haleigh@ExpertShutters.com
State or County License: 16572
it value or construction is gz)uu or more, a IttcoeDW Notice of commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltem Inc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip:33166 Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone: _
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 insp . If you intend� to obtain financing, consult with r or an attorney before
commencing work r rec cdM your Notice of Commencement. /
as
STATE OF FLORI
COUNTY OF c L t tCa.
The or oing instrum nt was acknowledge{ efore me
this day of 20 t! by
Michael Heissenb61I
(Name of person acknowledging )
&wk at
of Notary Public -State of Florida )
Personally Known VicOR Produced Identification
Type of Identification Prod/u�ceedd7'
Commission No&aS (Se0anon O'Shea
p1ARYq
NOTARY PUBLIC
-Revised 07/15/2014 = Comm# GG258038
ONCE I Expires 9/12/2022
STATE OF FL 1Dt1kCIJ
COUNTY OF
The for oing instrument was acknowledged before me
this day ofVJ44 40 20 4—by
Michael Hsissenberg
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known _1_1/ OR Produced Identification
Type of Identification Produced
,LRY,- Sharon O'Shea
OF
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS