HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i —a-el �1 SCANNED Permit Number. LgOC-7f)
BY
�' g `% St. Lucie County RECEIVED
Building Permit Application AUG ®2 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 3870 N. Hwy A1A Bldg 1-505
Legal Description: HIBISCUS -BY -THE -SEA CONDOMINIUM BLDG I UNIT 605(OR 792-2799: 2046-235; 3944-854; 3851-1520;4024-1026;4034-2530:4043-17161
Property Tax ID #: 1423-805-0027-000-8
Site Plan Name:
Project Name: Collins
Setbacks Front Back: Right Side: Left Side:
install 1 accordion shutter
Lot No.
Block No.
❑U I UUI IUI WUIR W Ue
E1HVAC
11 Electric
CI
IU1I I ICU UIIUCI UID
Tank Bas
Plumbing []Sprinklers
PUI[II IL—IIICGR<III ripply.
Piping_Shutters ❑Windows/Doors
Generator 11 Roof = Roof pitch
_Gas
Total Sq. Ft of Construction:
Cost of Construction: $ 3,283.00
S Ft. of First Floor: _
Utilities:'nSewer OSeptic
Building Height:
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Name Collins, Kathie (LF EST) & Kurisko, John
Name: Michael Heissenberg
Address: PO Box 203
Company: Expert Shutter Services
City: Purdys State: NY
Zip Code: 10578 Fax:
Phone No.914-277-5430
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.
;SUPPLEMENTAL CONSTRUCTION LIEN LAWjNFORMATION'
DESIGNER/ENGINEER: _ Not Applicable
Name: riltewlnc.
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 inspectiGR. If you integqd to obtain financing, consult with lender or an attorney before
commencing work Mr rec a vour.Notice of Commencement. n _ .O
as
STATE OF FLORIDA <Z� ` lA� L� STATE OF FLORIDA
COUNTY OF L COUNTY OF
Thg�for oing instrurykent was acknQwledgedj�efore me
thiyC n day of f—F 1q Q,� .Sfi 20 'i by
Michael Heissenbirg
(Name of perso
Personally Known " OR Produced Identification
Type of Identification Produced
Public State of
ar Vizzo
Revised 07/15/2014
The for5oing instr ment was acknowledged before me
thia� s day of 20 1by
Michael Hsissenberg
(Name of person acknowledging )
V
(Signature of Notary Publ}c- State of Florida
Personally Known OR Produced Identification
Type of Identification Produced
No.
My Commission GG
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