HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: RE LEI U JUN Z 12916 Permit Number:
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 APPLICAT01\1 FOR: Shutter
Address: 4100 N Al A 111
Legal Description. TREASURE COVE DUNES UNIT 111 NTS
Property Tax ID#: 14 23-502-0001-000-0 Lot No.
Site Plan Name: K,P',b, Schmaltz Block No.
Project Name: _
Setbacks Front Back: Right Side: Left Side:
Install 3 Accordion Shutters
°'M. �in
Additional w"Ort ;1++:m..�rorme un er t is permit—check a apply:
El HVAC l_�Gas Tank
—]Gas Piping Shutters Q Windows/Doors
❑Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
t
Cost of Construction: 1873.00 Utilities: _Sewer Septic Building Height: U0
JL'S167
Name Kathy Schmaltz_ Name: Michael Heissenberg
Address:4100 N Al A 111 Company: Expert Shutters
City: Ft Pierce ,A--_ State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No. _ Zip Code: 34984 Fax:
E-Mail: _. ..__ w _ Phone No. 772-871-1915
Fill in fee simple Title Halder on next page(if different E-Mail: callexpert@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.
apr-
n3i:�l. r
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WalterTillit Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33168 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE T6T!.r °""=.' ': 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 mak, representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict wi . ;olicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please cor5,.i,t a:i'J;y our 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 Ol .NIEFT:'four 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 in,,t: l:ic.>r. If you i nd to obtain financing, consult with lender or an attorn y before
commencingwor • . `c. , in r Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/ icense H Ide
STATE OY RfiO'di O1 i 4� Q STATE OF FLORIDA
COUNTOF
�" (� �, COUNTY OF L�
The for
oing instrulner,t was acknowledged efore me The forgoing instrument was acknowledged before me
th 1 'day of'�1 A n� 20 Ltzby this_day of J.M_ ,20 LL by
Michael Heissenberg Michael Heissenberg
(Name of personacknowledging) (Name of person acknowledging)
(Signature of Notary 'u;de-Scate of Flori U,
(Signature of Notary P lic-State of Florid
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
'(�,,yptARYgr� HEATHER VIZZO
gpRY HEATHER VIZZO Commission �� ' °�MN RY PUBLIC
Commission ao aI)NOTARY PUBLIC
o� o�z STATE OF FLORIDA
<� „STATE OF FLORI A C
----- ac'Comm#F e '�E 19 Expires 11/13/2018
Revised 07/15/`.=U: �441ZE APS Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW_ I REVIEW REVIEW REVIEW REVIEW
DATE +
COMPLETE
INITIALS