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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Date: SCANNED Permit Number: I I ©� 0Q � BY ;= St. Lucie County Building Permit Application RecENEo Planning and Development Services Build de Regulation 2300,Vi ginia Aovenue, Fort Pierce'FL 34982 ver 5'ttxncte Gown; nt Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Shutter PROPOSEQUiIPROVEMEIdT LOCATION »t Address: 5051 N Highway A1A 16-4 IILegal Description: SEAWARD AT ATLANTIC VIEW UNIT 16-4 Property Tax ID #: 1414-612-0086-000-9 Lot No. Site Plan Name: Block No. Project Name: Perry Setbacks Front Back: Right Side: Left Side: x DETAILED DIESCRIPTIOWOF WORK II Install 1 accordion shutter CONSTRUCTION INFORMATION << AaaitionaiworKtouenerrormeaunder tis permit— cheCK all apply: 0HVAC Gas Tank E]GasPiping Shutters ❑Windows/Doors 11 Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 764.00 Utilities.1:1Septic Building Height: 'OWNER/LESSEE: :, 'CONTRACTOR:` Name Ethel L Perry Name: Michael Heissenberg Address:5051 NHighway A1AApt 16-4 Company: Expert Shutter Services City: Hutchinson Island State: FL Zip Code: 34949 Fax: Phone No.772464-1222 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. -zSUP,PLEMENTAL CONSTRUCTION LIEN LAVV INFORMATION: - DESIGNER/ENGINEER: Not Applicable Name: Tiitecalnc. MORTGAGE COMPANY: 1 Not Applicable Name: Ad d ress: 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 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 obtain financing, consult with len a or an attorney fore commencinP—wcork or r coc�r iif0vour Notce of Cnmmenramant_ l as Agent STATE OF FLORI A STATE OF FLO DA V COUNTY OF , . �AQ,Ie I COUNTY OF ' Lld Q The forgoing instrume t w s acknowledgetj before me The forgoing instru ent was acknowledged_ before me this 81 V+- day of 20 l by this day of 20 ft- by Michael Heissenb&g Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging ) WlYlA 0 L & (Signature of Notary Pub ic- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Shanon O'Shea Commission No. c � NOTARY PUBLI a _ sSTATE OF FLOI Revised 07/15/2014 (Signature of Notary Public- State of Florida ) Personally Known X-1/011 Produced Identification Type of Identification Produced /1(' d3(�/ ,ter Sharon 0SIR33 Commission Ndj'_ J� O X �OTARY PUBLIC CA oSTATE OF FLORI❑ �- Comm# GG258038 Expires 9/12/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS