HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: H . (n Permit Number: � O �q
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Building Permit Application NOV 'i Pi
Planning and Development Services PE �T;,1C
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
,.. . PO5ED,i(1lIPROUEMEN7I.00AT�d.N
Address: 3200 N Al A Apt 201
Legal Description. SEA PALMS UNIT 201 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 1425-600-0007-000-9 Lot No.
Site Plan Name: Joan M Zito Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION 0�WQRKa r zw f wh
Install 3 Accordion Shutters
CONSTRUCTI€JIN INFORMATION
Additionalwork to be performea under this permit-check all appy:
HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
❑Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1787.00 Utilities: _Sewer O Septic Building Height: 110
OWNER/LESSEE ; £ CONTRA
CTOR
Name Joan M Zito Name: Michael Heissenberg
Address:3200 N Al Apt 201 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.850-528-7720 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 CC7NSTRUCTI.ON LIEN CAVI/ INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: walterTillit Name:
Address:6355 Nw 36th st Address:
City: Virginia Gardens State: FIL 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 innor,
ction you intend to obtain financing, consult with len or an attorn y before
commencingwon or re or in yo)Ar Notice of Commencement. ,� j
s
_Signature of Ow er/Lessee/Agent Signature of Contr ct /License Holde
STATE OF FLORIDA 7�4 J i/� STATE OF COUNTY OF FLORIDA L` L J n
COUNTY OF L.� '! �C
The for oing instrument was ack(�owledged before me The forgoing instrument was ac<nowledged before me
this, day of �dy�(✓){� 20 &by this 1(-�'Ziay of (11 JAX 20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging (Na(Na of person acknowledging)
(Signature of NotaryPu Ic-State of r d ) (Signature of Notary Pub c-State of Floria
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Commission Nio �aIdentification Produced Type of Identification Produced / /
T ) ` 61 HEATHER Vi CCommission No.-F'r/ DGa.� HEATHER VIZZ
of .
i1 a ?� a NOTARY PUBLI
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STA E O a s` ?. STA T E OF FLO A
Comm#FF176266 w i' Comm#FF17626
Revised 07/15/2014 sect Expires 11/13/2018 s%�e 1� Expires 11/13l2 18
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS