HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MU BEC M/PLETED FOR APPLICATION TO BE ACCEPTED II
Date: o / �Q Permit Number:
L1 �us�A erne. _ ... _ J
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DEC 16 2016
Building Permit Application Pubic Wor'_s
Planning and Development Services St. Lucie Coos y, F!_
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
PRO:PO$ED IMPROVEMENT LOCATION
Address: 3120 N A1A 605
Legal Description: TIARA TOWERS UNIT 605-S
Property Tax ID#: 1425-610-0101-000-9 Lot No.
Site Plan Name: Barbara L Hogarth Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Install 1 Accordion Shutter
CONSTRUCTION INFORIVIATIO;N
Additional work to be nertormed under this permit—check al appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator F] Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost_.of Construction:$ 7419.00 Utilities:El_Sewer 0 Septic Building Height: 130
OWNER/LESSEE CONTR
ALTO
x . w R �
Name Barbara L Hogarth Name: Michael Heissenberg
Address:3120 N Al 605 Company: Expert Shutters
city: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.248-568-7232 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.
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SIiPPLEMENTALCaN5TRUCTION LIEN LAW INEtRMATIQN
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: 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 inspection. If you intend to obtain financing, consult with len r ora attorney before
commencing work re rding yourAotice of Commencement. 71
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Hol
STATE
COUNTY OF OF ORIDA ]_ // C/ COUNTSTATE OY OF FLORIDA
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this day of rv'i-/ 20 �o by this I5 day of J �CQl(Y1 L7 e!',20 h�by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu lic State of Fr ) (Signature of Notary Public-Stateo i-of e )
Personally Known 7 OR Produced Identification Personally Known " OR Produced Identification
Type of Identification Produced Type of Identification Produced
�r gplty, HEATHER VIZZo ��)7 a�� "g—M,
MYHEATHER VIZZo
Commission N Y)7 �Oo7��nQtl) Commission No. 5a�OTARYPUBLIC
NOTARY PUBLIC -STATE OF FLORIDA
TATO:FLORI A4
Revised 07/15/2014 ` 9�^ Expires 11/1%2018 ���cetg�� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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