HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber: Pcis-mll
13Y
St. Lucie County REMED
Building Permit Application AVG 2 6 203
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34992 St. Luole County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PlRbp,O'S�D IMP136VEMENfILOCA
Address: 3250 Lakeshore Dr.
Legal Description: LAKESHORE AT SANDS (OR 1640-1177) UNIT 13 (OR 1952-11
Property Tax ID #: 1425-676-0013-000-9
Site Plan Name:
Project Name: Warren
Setbacks FrontX Back: X
1"IbETAILEb DE8CRI0TION,oF_wblkK:,,!
I install 11 accordions & 2 panel openings
L_j HVAC " Gas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,912.00
Right Side: X
Left Side:
ims permit — cneCK an triat appjy:
E]Gas Pir _ W1 Shutters
OSprinklers FIGenerator
S Ft of First Floor:
Utilities-1] Sewer OSeptic
Lot No.
Block No.
[]Windows/Doors
ERoof = Roof pitch
Building Height:
,OWNER/LESSEE:
CONTRACTOR:
Name Warren, Timothy E. & Celia V.
Name: Michael Heissenberg
Address: 3250 Lakeshore Dr.
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-971-1055
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
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
.Sq,�PPLEIVIEJNT-�,kL CONSTRUCTIQN LIEN LAW INFORIVIATIOW'-
Z
DESIGNE§/ENGINEER: Not Applicable
Name: riltecoinc.
MORTGAGE COMPANY: X NotAppli cable
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 Court makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conlylict with any applicable Home Owners Association rules, bylaws or anNcovenants; 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 J tend to obtain financing, consult with lender or an attornewbefore
g Vh9
commencing work Gf-fi)!corMn u r Notice of Commencement.
STATE OF FLORIDA -5j,4 L STATE OF FLORIDA V
COUNTYOF U CIT � COUNTY OF I _':ek A
Th or%rng instrument was acknowledged eforeme
t=- ayof "I�&VLS 4-by
Michael Helssenbft
%me of erson 4aknowleliging
0
OA C\/Ji43,�
(Signatureof Notary Pu fic-Stateof Florida )G' C/
Personally Ki_... OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
ubliC State of
r Vizzo
... nion 88
1111312022
The fo 2 ing i'nstruTent wasacl�nowleclged before me
thien day of 1.5-F by
20 Lq
Michael
of person
(Signature of Notary Puj!llic- State of
Personally Known V OR Produced Identification
Type of Identification Produced
tt**rnission No. - - - - - - (Seall
PUbliC State of Flondat
Rr Vi7ln
nmission GG 262653
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
DATE
COMPLETE
INITIALS