HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST JBE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: / /' SCANNED Permit Numb rr e—�
BY IMF
s " St. Lucie County
Building Permit Applicatio NOV 2 7 2919
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue, Fort Pierce FL 34982 yr
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 4200 N HIGHWAY A1A 813
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 813 AND UND INTEREST IN COMMON ELEMENTS
Property Tax ID #: 1423-501-0157-000-5
Site Plan Name:
Project Name: Smith
Setbacks Front Back: X
Install 1 electric roll shutter
Right Side: Left Side:
Lot No.
Block No.
CONSTRUC.INF}fJRMATION;
itiona wor to e e
orme un ert
ispermit—c ec
a apply:
0HVAC
0GasTank
DGasPiping
_Shutters
❑Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
ScFt. of First Floor:
Cost of Construction: $ 2,479.00
Utilities:
Sewer
O Septic
Building Height:
;OWNER/LESSEE: ":
CC!NTRACTOR: j
Name Christina M Smith
Name: Michael Heissenberg
Address:62 Harrison AVE
Company: Expert Shutter Services
City: New Canaan State: CT
Zip Code: 06840 Fax:
Phone No. 312-402-2044
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 or construction is y25uU or more, a RECORDED Notice of Commencement is required.
SUP PLEMENTAL,CONSTRUCTION LIEN.,LAW INFORMATION;"
DESIGNER/ENGINEER: _ Not Applicable
Name: 7iiteco inc.
MORTGAGE COMPANY: x Not Applicable
Name:
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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 in end to obtain financing, consult with lender or aan' torney before
comm�ing wor or rcaeardine v r Notice of Commencement.. - l _ / 1 //
STATE OF FLO DA
COUNTY OF A-1,0le,
The forgoing instrum nt was acknowledged before me
this 4 day of 1\1 20 Irby
Michael Heissenbtim
(Name of person acknowledging)
VLV U.l 11t � �.Q
(Signature of Notary P lic- State of Florida )
Personally Known v/— OR Produced Identification
Type of Identification Proddyyuced
Commission No. 50 'apm)
Revised 07/15/2014
STATE OF FL!FA
COUNTY OF . I LiC,4e
The forgoing instrument was acknowledged before me
this day of I 611 20 -a by
Michael Hsissenberg
Name of person acknowledging)
W"O" 01 �-
(Signature of IVYotary Public- State of Florida )
Personally Known —�/— OR Produced Identification
Type of Identification Produced
Sharon O'Shea Commission
NOTARY PUBLIC
STATE OF FLORIi1A
Expires 9/12/2022
XO'Shea
PUBLIC
STATE OF FLORIDA
Expires 9/12/2022
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