HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDeb
Date: 42 Permit Number:
RECEIVED
Planning
Permit Application
Planning and Development Services
Building and Code Regulation Division SEP 2 2 2016
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED 1/E
INPR� MENT LOCATION f r
.„•.5. 3c ..r�.=
Address: 4200 N Highway Ala Apt 913
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 913 AND UND INTEREST IN COMMON ELEMENTS
Property Tax ID#: 1423-501-0165-000-4 Lot No.
Site Plan Name: Lorenzo Arriola Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
TAILDRIPTIO
ED ESCN OF iNORK
DE
Install 1 Roll-Up Shutter
a%
CONSTRUCTIC3N INFORMATION
Additional work to be nertormed under this permit—check a appy:
HVAC Gas Tank Gas Piping V( Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1869.00 Utilities:Sewer 0 Septic Building Height: 100'
O.UIr$NER/LESSEE' CONTRACTOR
r
A
Name Lorenzo Arriola Name: Michael Heissenberg
Address:4200 N Highway Ala Apt 913 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State: FL
Phone No.305-753-3244 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(—waol.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.
SIPPLE(ViENTLICONSTI CTION LIEN l.A�lll INFbRMAl'ION, g
f
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; 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
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 insp n. If ou ' nd to btain financing, consult with lender orttorney before
commencing work r re in r kbtiA of Commencement.
s
_Signature of Owner/Less a/Agent Signatu Contractor/L cense Holder
STATE OF FLORIDA I 1 ' , STATE OF FLORIDA 5-�
1 U/ C )
COUNTY OF T� vt COUNTY OF
The forgoing instruiment was acknowledged before me The forgoing instrument was acknowledged before me
this )5 day of M Wt 26 ,_by thi�day of QM r 20 by
Michael Heissenb,4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledgingC�COIA�A )
W"1W V I
(Signature of Notary P lic-State of Flo id (Signature of Notary P}Tblic-State of Flori )
Personally Known OR Produced Identification Personally Known �// OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NFL- )2��-0,o ,(S4I THER VIZZO Commission NZ LidWa @�o1nV,((SeQa%EATHER VIZZO
.r o�NOTARY PUBLIC a NOTARY PUBLIC
Revised 07/15/2014 ` Comm#FF176266 =s , a Comm#FFF176266DA
"/ 19�� Expire's 11/13/2018 c€t97 Expires 1111
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