HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: SCABNNED Permit Number: 1qnmba,
t : _ St. Lucie County
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Building Permit Application 10%
Planning and Development Services VL
Building and Code Regulation Division OeQa��'N
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2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
"PROPOSED IMPROVEMENT LOCATION:Ali
Address: 3920 N Highway A1A 804
Legal Description: OCEAN PEARL CONDOMINIUM (OR 1842-1609) UNIT 804
Property Tax ID #: 1423-505-0028-000-4
Site Plan Name:
Project Name: Caffarelli
Setbacks Front X Back: X
Right Side:
Install 5 accordion and 3 roll hurricane shutters
Left Side: X
Lot No.
Block No.
CO'NSTRUCT)ON INFORMATION;'
itiona wor to e e orme under tispermit—check all apply:
OHVP Gas Tank ❑Gas Piping PI)Shutters ❑ Windows/Doors
Electric Plumbing ❑Sprinklers []Generator Roof Roof pitch
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost, of Construction: $ 10,431.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: ,
`CONTRACTOR: • ° -
Name Dennis J Caffarelli
Name: Michael Heissenberg
Address:10141 Wine Country Lane
Company: Expert Shutter Services
City: Hammondsport State: FL
Zip Code: 34949 Fax:
Phone No. 607-368-3491
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 52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: 'riltecolnc. Name:
Address: 636s Hw 3stn St suite 3os 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:
Address:
City:
Zip: Phone:
Name: _
Address:
City:
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 inspecJDa,lf ysy{intend 07obtain financing, consult with lendern attorney before
signature or uwner/Lessee/uoniracior as Hgen>;,rgr uwner z gnamre or uoncra=r/License nola�
STATE OF FLORIDA a, � t t / fl(1V STATE OF FLORIDA ` )_ ��/ 1 n
COUNTY OF J C COUNTY OF :JT` l -1C
The f r ing instrument 'w''a��1�1s��1�1ac'''',knowledged before me
this]Zday of 20 fgby
Michael Heissenberg
(Name of person a c owledging )
2'do(146-�
V
(Signature of Notary Pub' -State of Florid
Personally Known OR Produced Identification
Type of Identification Produced
Commission NG G, ,W,� �uhli,State OfFloride
TG a (0') D --I . . .. eatherVizzo
GG 262653
Revised 07/15/2014
The11 orgoing instrument was acknowledged before me
thiy � JJ7 clay of L I I U 20 J_q by
Michael Hsissenberg
(Name of person ac cnowledging )
(Signature of Notary Public- State of Flor' )
Personally Known tOR Produced Identification
Type of Identification Produced
ae
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS