HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: ll I 1 - D\5 71
SCANNED
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x
PERMIT APPLICATION FOR: Shutter
I. PROPOSMIMPROVEMENT LOCATION:-
RECEIVED
NOV 0 7 2019
Permitting Department
St. Lucie County
Residential
Address:"('I,
��!la�I r • 1 r
u M.ek&_Cy�-'aits
• • • {t �1_ • •r1�Lot No.
Site Plan Name:
Project Name: vi thnnC _*z_
Setbacks Front Back: Right Side: Left Side:
Block No.
l DEt'AIt€D DESCRIPTION OF -WORK �l
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'yc���o ll�r� 4cc�cd�or 5huArNtr
CONSTRUCTION INFORMATION. ° ": t, , = •`
itionalworKI06enerformea under tis permit- cneCK all that apply:
OHVAC Gas Tank Gas Piping _Shutters ❑ Windows/Doors
11 Electric 0 Plumbing []Sprinklers; ❑ Generator D Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ �51OL-Ico , a`)
S Ft. of First Floor: _
Utilities: Sewer []Septic
Building Height:
OWNER/LESS,EE':7
GQNTRACTOR:
F;
NameV i0_�'1Q, ` �,1I•iYYlfll.li�'L
Name: Michael Heissenberg
Address:2(0Cn3 n Ida San?\C(l Azle.
Company: Expert Shutter Services
City: Cet G\•-I State: rL
Zip Code: ¢J3p2Cn Fax:
Phone No.CIQ:j -Lark'] �i \�J5
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
it vaiue of construction is ,;zsuu or more, a RECORDED Notice of Commencement is required.
"SUP PLEMENTALCON STRUCTION LIEN LAW, INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name: rlteculnc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 36th St Sulte 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 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 inspect' If you intend to gbtain financing, consult with lenderyr�n at rney before
commencing work recor ia�our NotiA of Commencement. — / ! /
as
STATE OF FLO A STATE OF FLO n
COUNTYO'F -1 I,Cp COUNTYOF��,I()/`2
The fo oing instrumept w s acknowledge efore me The for oing instrumen was acknowledged before me
this 7 day of N ��. . 20 Q-,by this N day of �(jU. , 20 by
Michael Heissen4g Michael Hsissenberg
(Name of person acknowledging) (Name of perso
&' rt.C'7V\ n r U " o
(Signature of Notary Public- State of Florida
`)
Personally Known // OR Produced Identification
Type of Identification Produced�n^
Commission No 58-03�rl Shanon O'Shl
wppkC NOTARY PUB
Revised 07/15/2014
n acknowledging )
aax- . D'
(Signature of Notary Public- State of Florida )
Personally Known i, OR Produced Identification
Type of Identification Produced
Shanon O'Shea
,Commission No Q Ir101 PUBLIC
IC 5 STATE OF FLOP]
Comm# GG258038
Expires 9/12/2022
Expires 9/12/2022
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