HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 16 1 1 1 S Permit Number:
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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 Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IIVIPROVEM'E'NT LOCATION
Address: 5055 N A1A Unit 501
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING C UNIT 501
Property Tax ID#: 1414-601-0127-000-5 Lot No.
Site Plan Name: Frances Lieto Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRII?TION°0F°WORK
Install 6 accordion shutters
CONSTRUCTION INFORMATION
r
Acid
itiona I work toe e orme under this permit—check affFa_pp y:
HVAC Ei Gas Tank OGas Piping Shutters Q Windows/Doors
Electric ❑ Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 6,801.00 Utilities:Sewer Septic Building Height: 100'
QWNER/LESSEE -'W "':CONTRACTOR'
Name Frances Lieto Name: Michael Heissenberg
Address:5055 N AIA Unit 501 Company: Expert Shutter Services
City: Ft Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.772-464-1668 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:_ t -w✓ Name:
Muni=
Address: 5- 'Si- g-;k,s o< Address:
City: w • a+ _ State: City. State:
Zip: 3 t Phone: 05 - *ri 1 t -L, 31 Zip: Phone:
FEE SIMPLE TiTLE HOLDER: x Not Applicable BONDING COMPANY: XNot 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 Assoaation.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.
n-consideratii6n-of-the-granting-ofthisi,4quested-permit--Udo-hereby-agree4hat-i-wili;in-all-respects-perform-the-work.
'An accordance with.thii approved plans,the.Florlda Building Codes and St.Lucie County Amendments.
The following buildingpe' 'it.applicatlons are exempt from undergoing a full concurrency review:room additions,
accessory.structures,swimming pools;fences,walls,.signs,screen rooms and accessory uses to anothernon-residential use
WARNING TQ.OWNER:Yourfailure 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-theArst-inspecti you:intend to qbtain finaricing,'consult with lender or-an attorney before
-commencin work•or re - r in ur Noti of Commencement.
s .
Signattice-of Ov�rner/LesseeJAgent. Si ature of ContractoIA/LiceiKe_H der.
STATE 0-F-iFiL®1 ODA STATE OF FLORIDA
COUNTY OF st Li-A.;', COUNTY OF&u-l
The fnrpoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this lyr'tday of P C-M -20 ! .by- this l's'r day of. CT�el .20 ( by
Michael Heiss .49 Michael Helssenberg
(Na of pe n acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Nor, (Signature of Notary Public-State of no&-)
)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER V¢ZD THER VR2O
Commission Na. ARYPUBLiC Commission No. �1
NOTARY PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
Cam"110
Revised 07/1512014 a Expires 11/13/2018 Expires 11l1312Q18
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS