HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: SCANNED Permit Number: I IQ� '� 1
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Building Permit Application 610t 6I Ini-
Planning and Development Services aMla: d
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
PROPOSED IMPROVEMENT.LOCATIONt
Address: 3120 N HIGHWAY A1A 1001
Legal Description: TIARA TOWERS UNIT 1001-S AND UNIT G-34
PropertyTax ID #: 1425-610-0117-000-4
Site Plan Name:
Project Name: Yeslow
Setbacks Front Back: X
DETAILED DESCRIPTION OF'WO
Install 1 accordion shutter
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION: A=.,
�HVAC
I �i
Gas Tank
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 9,045.00
Lei nuL—aiecrtdu
V
dppiy:
Sas Piping
Shutters
Windows/Doors
Sprinklers
E]
Generator
Roof
=
Roof pitch
S Ft. of First Floor: _
Utilities:CnSewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR: ,
Name Mark Yeslow
Name: Michael Heissenberg
Address: 1380 Landmark Ct
Company: Expert Shutter Services
City: Fort Myers State: FL
Zip Code: 33919 Fax:
Phone No. 239-337-4343
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecomc.
Ad d res5: 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:
one:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 1 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 Owner/Lessee/Contrar Agent for Owner
STATE OF FLORIDA <` WC
n
COUNTY OF 1�/' IX
The fotg ing instrument was acknowledgedefore me
this L1t day of_-_I:IA 20 by
Michael
person
Notary Public- State
Personally Known V OR Produced Identification
Type of Identification Produced
Commission
Revised 07/15/2014
s
Signature of Con ractor/ZLUCi'-e_
er
STATE OF FL
COUNTY OFORIDA
The forgoing instrument was acknowledged before me
this day of , 20 _ by
Michael Hsissenberg
(Name of persorl a acknnowlled�ging//!)n
V ck- ' VP'
(Signature of NotaryPyblic- State rida )
Personally Known V OR Produced Identification
Type of Identification Produced
Public State of
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS