HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Permit Number:
- - JUL 2 1
Building Permit Application
Planning and Development Services
PEFirAlTTlNG
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PIt�POEd t(tMl�t0Ui1lINT LOCAT1flNr
Address: 3920 N Highway Al A 403
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING A UNIT 306
14Q1�1 - 5o5- 30 - cm -�)
Property Tax ID#: OCEAN PEARL CONDOMINIUM (OR 1842-1609) UNIT 403 Lot No.
Site Plan Name: Thomas Byrd Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILI"D CESCRtPTION OF WORKx F k
Install 3 Accordion Shutters & 1 Roll-up Shutter
=CONSTRUCTION INFORMATION
x
Additional work toe e orme under this permit—c ec a appy:
HVAC Ei Gas Tank Gas Piping 7 Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 2699.00 Utilities:Sewer 0 Septic Building Height: 120'
OINNERJL'ESSEE 3 C(7NTRACTOR0, x s
Name Thomas Byrd Name: Michael Heissenberg
Address:3920 N Highway Al 403 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.772-801-5101 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder 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.
kUPPLEN1fTAI.CGNaTRUCTIUN I"IN lAW INaRl11lATC [� '� a
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 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 inspection.!you intend to obtain financing, consult with lender or an attorney before
commencing work -r recor i ur No ce of Commencement.
—� s
_Signature of Owne essee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA , u '�nn STATE OF FLORIDA / l���'�
COUNTY OF �C COUNTY OF L
The forgoing instrument was acknowledged Yefore me The forgoing instrument was acknowledged efore me
this��ay of 1 20 by this `1�qday of 20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P blic-State o FI r' ) (Signature of NotaryPubl' -State of 006a)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission I i ?' q� �'qs� THER VIZZO Commission N (7 �ti HF�SW5R VIZZO
F�
p( ARY PUBLIC sso NOTARY PUBLIC
STATE OF FLORIDA « STATE OF FLORIDA
omm#FF176266 Coram#FF176268
Revised 07/15/2014 s��vice19Expires 11/13/2018 %5CE19Sq Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS