HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 34 Permit Number:
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Building Permit Application MAR 0 9 [�1�
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
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Address: 8905 Champions WAY
Legal Description: LAKES AT PGA VILLAGE(PB 43-32) BLK A LOT 14
Property Tax ID#: 3334-501-0028-000-5 Lot No.14
Site Plan Name: Ann E Sheldon Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
MR-0 X
®ETAIlE®�DESCRIPTI®N a R Ex
Install 15 Accordion Shutters
Ca STRUCTIQN 1"NFQRMAI®'N = _
Additional work toe nprtormed under this permit—c ec a appy:
HVAC Gas Tank F]Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 8999.00 Utilities:cn Sewer O Septic Building Height:
O�U1FN:E,R/LE5S � ,r 0®NTI2ACTOR
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Name Ann E Sheldon Name: Michael Heisenberg
Address:8905 Champions WAY Company: Expert Shutters
City: Port St Lucie State:FL Address: 668 SW Whitmore Dr
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.860-712-9018 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.
SIJPPLEMENP►�Ice,
DESIGN
LIEN W NMI
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DESIGNER/ENGINEER: x 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: x 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 inten o obtain financing, consult with lender or an attorney before
commencingwork or ' our otice of Commencement.
s
_Signature of Owner/Lessee/Agent v Signature of Contractor/Lice se HcTdEFr
STATE OF FLORIDA r , I C "� STATE OF FLORIDA JV—�
J �r�COUNTY OF [��/l COUNTYOF L�
The or oing instrument was acknowledged before me The fo`�oing instrument was�a"cknowledged before me
this day of [na/(,(n 20 1 by this�tt_day of �Q ILIn 20 by
Michael Heisse4g Michel Heissenberg
(Name of person acknowledging) ame of erson acknowledging)
(Signature of Notary Public-State qyloa) (Signature of Notary Public-State of Flolya
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
�- �a� HEATHER ViZ� H t(
VIZZU
Commission No. �� NOTARYPULLIC Commission No. �/1 .,�$ea( OTAR PUBLIC
� TATE OF FLORIDA
qESTATE OF FLOR DA �? i
Comm##FF176266
13/2018
Revised 07/15/2014
s��c ' Expires 1'1!33!2018 ��° Etg` Expires 11/
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS