HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L RECEIVrD AUG 1 up 1.636
'�.,.
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 C Qov\
r
SEP,IMPROVEMENT LOCATIQN.
Address: 4160 N A1A 404 A
Legal Description: OCEANIQUE OCEANFRONT (OR 2752-1842) BLDG A UNIT 404
Property Tax ID#: 1423-506-0018-000-4 Lot No.
Site Plan Name: Holger Huels Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFWORK
Install 1 Roll Up Shutter
CONSTRUCTION INFORIUTATION -�
itiona work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank E]Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1245.00 Utilities:cn Sewer E]Septic Building Height: 120'
OWNER/LESSEE " CgNTRACTOR:.
Name Holger Huels Name: Michael Heissenberg
Address:4160 N Al 404 A Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.561-244-8050 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.
SUPPLEMENTAL C�NSTRUCTIQN LIEN LAW INFORMATION
,... _,..,. >, �..,.._ . � � MORTGAGE�COMP#
DESIGNER ENGINEER: Not Applicable ANY: 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 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 inspeffro-IrrNIf you intend o obtain financing, consult with lender or an attorney b re
commencing wor o,T recorftng your ice of Commencement.
s
—Signature of Own r/ sse /Age Signature of Contractor/Lf6enolcler
STATE OF FLORIDA yl C I TOFLORIDA �_i) L�( /COUNTY OF COUNTY OF �Cp
The for ping instr ent was acknowledge efore me The forgoing instrument was acknow ledged,l�efore me
this )day of ' �- tAS} 20 J by this:'ay of Vi20 /1/�-�by
Ll J
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-Stat lorida) (Signature of Notary P lic-Sat of torida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifion Produced Type of Identification Produced
l� Oqp,y4 HEATHER VIZZ �) W��
Commission No. Q� NOTARY PUBLICommission No.-q) � I) HEATHER VIZZO
a STATE OF FLO IDA Q� s, s°.-'— NOT PUBLIC
N' Expires i 1/13/201£3 Wsi �Comm#FF176266
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Revised 07/15/2014 ✓CEl Expires 11/13/20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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