HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONF
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J
Date: SCANNED Permit Number: O /
BY
0
St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services
Building and Code Regulation Division Jill 1. Q 21119
2300 Virginia Avenue, Fort Pierce FL 34982 permltti g Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Conpmercial X Residert#da.ucle count
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 N HIGHWAY A1A 508
Legal Description: SEA PALMS UNIT 508 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0044-000-0
Site Plan Name:
Project Name: Hutson
Setbacks Front Back: X
DETAILED
I Install 1 accordion shutter
❑HVAC u Gas Tank
❑Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,279.00
Right Side: Left Side:
V f
nu—cneLK all appiy:
Piping Shutters
-rs ❑ Generator
S Ft. of First -Floor: _
Utilities: Sewer ❑ Septic
Lot No.
Block No.
❑ Windows/Doors
❑ Roof ❑ Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Claude C Hutson
Name: Michael Heissenberg
Address:2904 David Stewart Ln
Company: Expert Shutter Services
City: Lake Lady State: FL
Zip Code: 32159 Fax:
Phone No.352-255-8231
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 S2500 or more, a RECORDED Notice of Commencement is required.
Name: Tiltecohmc. Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
Signature of 0 ner/Lessee/Contra or as Agent for Owner
STATE OF FLORIDA 1 I i A CI ZJ COUNTY OF t v —jam L�VI 'C.
Thefff roing instrument was acknowledged before me
thist� day of LA l 20 Lby
Michael Heiswnb&g
(Name of verso
Personally Known V OR Produced Identification
Type of Identification Produced
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(o S ?blic State of
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Revised 07/15/2014
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Signature of Contractor/License Hol r
STATE OF FLORIDA ], L ' l'
COUNTY OF �( 1� 1 (
The forgging instru m: was acknowledged before me
this j9-N-N�tiayof�20 jq by
Michael Hsissenberg
(Name of person acknowledging )q
V
(Signature o Notary Publ' - State of Flori
Personally Known OR Produced Identification
Type of Identification Produced
ission No. $vQeaI�,taaryPublicStateof
GG a (0� s z • Heather Vizzo
My Commission GG 2
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