HomeMy WebLinkAboutBuilding Permit Application ALL APPL�I-CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: ' ( Permit Number:
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Building Permit Application JUL
Planning and Development Services P `T7:.�
P.
Building and Code Regulation Division St. L'-`ci`'- r,cuntY, ;_--
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 5055 N US Hwy Al Apt 401
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING C UNIT 401
Property Tax ID#: 1414-601-0121-000-3 Lot No.
Site Plan Name: Abe Abramczck Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
F
E
s
Install 2 Accordion Shutters
Aa
itional work toe performed under this permit—c Sec a appy:
HVAC 11 Gas Tank DGas Piping Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5483.00 Utilities:Sewer F]Septic Building Height: 80'
NamE Name: Michael Heissenberg
Address:5055 N US Hwy Al Apt 401 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.772-776-5506 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: walterTilrit
Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City:
33168 State:
Zip. 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 thepermit 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 intend t obtain financing, consult with lender or an attorney b fore
commencingwork ord' our N ce of Commencement.
ti s
_Signature of Owner/Lessee/Agent Signature of Contrac or/ icense Holder IX
STATE OF FLORIDA TATE OF FLORIDA,_�l(X�y
COUNTY OF -COUNTY OF
The kj!poing instrument was acknowled a (before me The fogjng instrument as acknowledged! before me
thil —day of l 20 L�1y this��'ay of U 20 1 b by
Michael Heissenb6rg Michael Heissenberg
(Name of person ac owledging (Name of person acknowledging)
9 L_Ial�
(Signature of Notary P lic-State of Flori a (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
ii ((,,,, -1 HEATHER VIZZO
Commission - ) 7"+'o (Seal) Commission I s � NO'r*W)PUBLIC
HEATHER VI
1,1ptPRY�I � NOTARY PUBLI o z, o STATE OF FLORIDA
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Revised 07/15/2014 Comm#FF176266 `r�wcE t��e Expires 11/13/2018
M't1A1,E%'F Eypires 11/1312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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JUL 2Y
PE TT@c,
St. Lucie County, FL
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