HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a Permit Number: �0%ryt 00
SCANNED RECEIVED
,— BY
® x St. Lucie Cnlint AUG 0 2 2019
Building Permit Application
Planning and Development Services ST. Lucie County, Perr
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•LOCATION:
Address: 5047 N HIGHWAY A1A 801 3y1{ t
Legal Description: ATLANTIC VIEW BEACH CLUB CONDOMINIUM #1 UNIT 801
Property Tax ID #: 1414-610-0037-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Solomon
Setbacks Front Back: X Right Side: Left Side: X
DETAILED DESCRIPTION OF WORK
install 3 accordion shutters
CONSTRU(TION.I,NFORMATION: x =
LJHVAC I l Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11,513.00
uuspermit— LHMAdu dppry:
E]GasPit - _Shutters Windows/Doors
Sprinklers Generator 1:1 Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:,; _ = .�
CONTRACTOR:
Name James Solomon Jr
Name: Michael Heissenberg
Address: 5155 Whitewood Way
Company: Expert Shutter Services
City: Lake Worth State: FL
Zip Code: 33467 Fax:
Phone No.561-827-7376
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 $2500 or more, a RECORDED Notice of Commencement is required.
SfJPPLED%fEfTA`L COiV5� EtUCTIC�fVLIEN IAtN 1iVFOftMATfCINq':
yDESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Tiltecoinc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
= Not Applicable
BONDING COMPANY:
Not Applicable
Name:
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 deedfor 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
commeri l=_ work or recordine vour Notice of Commencement.
rebt Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Thing instryrymennowledged before me
uthi y by
Michael Heissenberg
(Name of person a knowledging I -
— f cvivp
(Signature of Notary Pujalic-State of Florid )
Personally Known _
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
Signature
STATE OF FLORIDA /� L«C 1 n
COUNTY OF -C
The ^forgot ng instr%� en�t�w�as acknowledged before me
thty day of M VlV7 1/i, 20 J by
Michael Hsissenberg
(Name of person a owI dging I
QWnV
(Signature of Notary Public- State of Flori
Personally Known V/ OR Produced Identification
Type of Identification Produced
'C35anission No.
State of Flor fi
!0
11/13/2022
�"K_,eAlfiary Public State of
S3 g_y+ HeatherVizzo
.1 -i•. My n- n
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