HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
BY
St. Lucie County itECENED
- ncr
Building Permit Application q 1019
Planning and Development Services NOV O artmtment
Building and Code Regulation Division permittin9 D W
coontv
2300 Virginia Avenue, Fort Pierce FL 34982 St. �uc1e
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Addfie 0 � �c1 • - C• •
Property Tax ID#: '113II-'JI T-(J2,)0-(Xe(D-6
Site Plan Name:
Project Name:D-
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
•T_c�SM.��ir�g, `� O�ecordlon �`�`u�ecS
CONS RUCirON,,INFORMATION'. �t�
: A ... «:`a. *' ; r is a.� 5^.• , it'., . t n,„a ..." -a. x<k';
itionaiworKtol3enerTormea under tis permit - cneCK an apply:
11HVAC Gas Tank E]GasPiping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator 11 Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ � ,wl_� -OU
S Ft. of First Floor: _
Utilities:Cn Sewer El Septic
Building Height:
OWER/LESSEE` m y
+
nONTRACTOR * TM
nY
Name 1A
iQnpolt C7- UcA t v me.
Name: Michael Heissenberg
Address: `L` 0 A `7� 1SIp nl,
'co)k•
Company: Expert Shutter Services
City: Qm e'k
Zip Code: lei UO'b2- Fax:
Phone No. "J 12- u P-1- 11109
State:'
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.
SUPPLEME4TAI•ICONSTRUCT1014 ,IEN'.IAW INFORMATION; J
Not
Name: Tiltecoac.
Add res5: 6355 NW 361h St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 intend to btain financing, consult with lender or an attorneybefore
commencine work or raeordSR' ur " No e of CommencemeDt -t„ _ � � 3J
as
STATE OF FLO�� q STATE OF FLO A -
COUNTY OF _lY. URIC,. COUNTY OF N .L( &
The for oing instru e t was acknowledge efore me
this day of NIA J. 20 by
Michael Heissenberg
(Name
of person acknowledging)
`u^iu��
ICJna' � 61 giQA—
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No ����� � op I) Sharon O'Shea
s NOTARY PUBLIC
The for oing instrurign_t was acknowledged efore me
this7dayc 20 il by
Michael Hsissenberg
(Name
�p„o�fQperson
naacknowllleedgiinng )
VGA" ti iK� Ili V l 1 "`.''
(Signature of Notary Public- State of Florida )
Personally Known V/ OR Produced Identification
Type of Identification Produced
Shanon O'Shea
Commission No. —""'emu p } I�IOTARY PUBLIC
0
-STATE OF FLORI
Revised 07/15/2014 �N �a Comm# GG258038 •'NOTei` Expires 9/12/2022
E 19 Expires 9/12/2022
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