HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
St. Lucie County
to. ONOWA*0 RECEIVED
$FP �� ^r+q
Planning and Development Services Building Permit Application
Building and Code Regulation Division Permitting ueparcmenr
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Counn•
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
I PROPOSED, IMPROVEMENT LOCATION: '?k;•`uIII
Address: 3200 N HIGHWAY A1A 804
Legal Description: SEA PALMS UNIT 804 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0070-000-1
Site Plan Name:
Project Name: Anderson
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
IDETAILED DESCRIPTION OF WORK -
._
I Install 1 accordion shutter
CONSTRUCTION INFORMATION':
Aaaitiona wor to Ile Dertormea unaertruspermit—c
E1HVAC Gas Tank
Gas Piping
ec all apply:
�_ Shutters
❑ Windows/Doors
DElectric 0 Plumbing
❑Sprinklers
E Generator
0 Roof Roof pitch
Total Sq. Ft of Construction:
ScFt. of First Floor:
Cost of Construction: $ 878.00
Utilities'.
Sewer E Septic
Building Height:
;CONTRACTOR
_..
Name John G Anderson
Name: Michael Heissenberg
Address:1414 Ridge Rd
Company: Expert Shutter Services
City: Durango State: CO
Zip Code: 81303 Fax:
Phone No. 772-321-3686
Address: 668 SW Whitmore or
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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.
SUPPLEMENTALCONSTRUCTION':LIEN
LAW INF0RIVlATION
�-
DESIGNER/ENGINEER: _
Name: TiitecoInc.
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Ad d ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X
Name:
Not Applicable
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 inspection. If you inten��o obtain financing, consult with lender or an attorney before
commencing work errecordina vour Dfidtice of Commencement_ i�_ _ or
STATE OF FLORIDA COUNTY OF ST l�VllL Luc
c C
OJ
The foreping instr a twos ckno fledged before me
thisi��dayof 20 Aby
ature of Notary
Personally Known
Type of Identification
Commission No.
ncn a(10a1
Revised 07/15/201
STATE OF FLORIDA
COUNTY OF
The f rgging inst�r mpent was acknowledged before me
this�—rlayof+ �CyAr 20 /9by
Michael
of person acknowledging )
-State of Florida ) 4141 (Signature of Notary Public- State of Floiidaq
OR Produced Identification Personally Known OR Produced Identification
iced Type of Identification Produced
0"%_ NotarXfaM�StateofFlanda Commission No. Se
Heather Vizzo No ary 0u lic Stale o1 Florida
My Commission GG 262653 G G��, a(�S3 :F J""y; Heather ViuO
u„Cnmmiesldn GG 262853
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS