HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE NFO MUSTBECOMPLETED FOR APPLICATION TO BE ACCEPTED l n Q
Date. ! b Permit Number:
RECEIVED
Building Permit Application AUG 15 2016
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
PFt®`P®SE® I I\%IR®��/EM,ENT @( SRI
Address: 4160 N A1AApt 602
Legal Description: OCEANIQUE OCEANFRONT(OR 2752-1842)BLDG A UNIT 602
Property Tax ID#: 1423-506-0030-0004 Lot No.
Site Plan Name: Gene F Manko Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Install 1 Roll-Up Shutter
C®NSTfZUCTION IjNxFORNI/ Tr10�N� Mi ..., ,
Additional work toe e orme un ert is permit—checka at appy:}
HVAC Ei Gas Tank Gas Piping LJ Shutters L1 Windows/Doors
11 Electric 1:1 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1743.00 Utilities:Cn Sewer[]Septic Building Height: 120'
M6, P CIN'TRACT®R2
Name Gene F Manko Name: Michael Heisenberg
Address:4160 N Al Apt 602 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore Dr
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.561-635-9161 Zip Code: 34984 Fax: 772-871-0990
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.
SIJPPI FMIFNI'AI C®N�STRt1CTI®NLIEL/�1t1/ INFORIUTATI®N � Y
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteco,lnc. Name:
Address: 6355 NW 36th St#305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 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 before
commencingwork o i our N ce of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA ' STATE OF FLORIDA
COUNTY OFLu c COUNTY OF
The fo Drug instrurr? nt w s acknowledg before me The.f g ing instrument s acknowledged before me
tOi� ay of VA41J20� by this tt�ay of ECJ 1 �A 20 L�O by
Michael Heisse4g Michel Heissenberg
(Na a of p rson ac nowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florid ) (Signature of Notary Public-State of F i
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced
� Type of Identification Produced
16�4&Commission � b D�61 ygss(SL ��HER VIZZO Commission NJ _ iH >' r 7�UB C
NOTARY PUBLIC
a451; .F_OF FLORIDA o STATE OF FLORIDA
�- ' Cmn,q #FF176266
Revised 07/15/2014 is 1 expires 11/13/2018 'PrOEV1, Expires 11113/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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