HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
° w,3 St. Lucie County
Building Permit Application 21 TO Planning and Development Services N� oeQa�nt
Building and Code Regulation Division pet(,\ ^� �e Co°�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
I`3PROPOSED IINPR,OVEMENTLOCATtO'N: , '.`
Property Tax ID #: W23- 6nn- rtiIA - obn -I Lot No.
Site Plan Name:( Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
'' DETAI[ED.DESCRIPTIOk':OF=WORK
j��Q4 a- Cacc.o�di0� �Y�o�,r
CONSTRUCTION"INFORMATION':
itional
e nertormed
this permit-
❑HVAC or to u Gas Tank under OGas P ping ec a Shutters ❑ Windows/Doo rs
11 Electric 0 Plumbing ❑Sprinklers E]Generator 0 Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ JUA .lp
S Ft. of First Floor: _
Utilities:Cn Sewer [JSeptic
Building Height:
CONTRACTOR:
Name' <-01A Anbpr5cln
Name: Michael Heissenberg
Address:- M?_ IJ PIS 04A J(02-
Company: Expert Shutter Services
City: A;�-)f� '_� ��ra —State-.FL-
Zip Codec21 Fax:
Phone No.`4-17- -
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
51F1�P,LECVIENTALQN5TRf1E fCON¢LCEIV LAUD M(V�{)RMA710EV
�` t
�r
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: Tltecolnc
Name:
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: Ft
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
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 inspe ' n. If you intend 1p obtain financing, consult with lender or an attorney efore
rommencine wor r re ofdMe vour N ice of Commencement. it V�
Agent jbr Owner
STATE OF FLO 4A' 1, STATE OF FLOR
COUNTY OF Irt,le COUNTY OF g ,�C4P
The for oing instrum n was acknowledge before me
thisodayof 20 by
Michael Heissenberg
(Name of person acknowledging )
MAs411 N, yWL
(Signature of Notary Pu lic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Shanon O'St
Commission No. NOTARY PU
A`=STATE OF F
Revised 07/15/2014
The for oing instrument was acknowledged„ before me
this day of9w/. , L 20 by
Michael Hsissenberg
(Name of person acknowledging )
du&�= m~
(Signature of Notary Public- State of Florida )
Personally Known -A-/— OR Produced Identification
Type of Identification Produced
a `1G,� 1py Shanon O'Shea
_gmmission Ni Q )NOTARY PUBLIC
,olnA ESTATE OF FLORI
Expires 911212022
Expires 9/12/2022
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