HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� �
Date: SCANNED Permit Number: I "I 09 -O k0al
BY
I t� St. Lucie County
e ea:+ee RECEIVED
Building Permit Application JUL 19 7019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 N HIGHWAY A1A 809
Legal Description: SEA PALMS UNIT 809 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0075-000-6
Site Plan Name:
Project Name: Sarvis
Setbacks Front Back: X
Install 1 accordion shutter
Right Side: Left Side:
Lot No.
Block No.
CONSIRUCTI,ON INFORMATION;'
„
q
rtiona wor to e errormeaifidert
ispermrt—check
a apply:
�HVAC
Gas Tank
❑Gas Piping
Shutters
❑ Windows/Doors
Electric Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sct. of First Floor:
Cost of Construction: $ 1,804.00
utilities:
nSewer
Septic
Building Height:
OWNER/LESSEE: y
CONTRACTOR: ..
Name Glenn A Sarvis
Name: Michael Heissenberg
Address:1508 Terrace Green DR
Company: Expert Shutter Services
City: Leesburg State: FL
Zip Code: 34748 Fax:
Phone No.352-250-5672
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 nextpage (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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.:
DESIGNER/ENGINEER: _ Not Applicable
Name: TitecoInc.
MORTGAGE COMPANY: x NotApplicable
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: X 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 to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
Signature of wner/Lessee/Contr r se as Agent for Owner Signature of Contractor/Licender
STATE OF FLORIDA C STATE OF FLORIDA I
COUNTY OF `, /'UC{f� COUNTYOF 5- Lucile
The f ing instrument was acknowledged before me The ff roing instrument was acknowledged before me
— this day of ':yy �/i 20 Lc? this Roday of I/i�T 20 a by
Michael Heissenberg Michael Hsissenberg
(Name of person 4cknowledging) (Name of person acknowledging )
State of FloddaQ/ I (Signature of Notary PubJ c- State of
Personally Known V OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification
._ Produced
Commission No6 aV-? �
e
Expires 11/t
Revised
07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS