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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 34 1 Permit Number: I 0 Building Permit Application MAR 0 9 2017 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 P`ROP®SED 1i11/I� .���,. '�LENT L©CATI®N: _ Address: 1704 PRIMROSE CT Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 133 Property Tax ID#: 3426-703-0147-000-7 Lot No.133 Site Plan Name: Guy Dellegrazie Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED ®E�SdCRI�PTI®RI ©F W©RaK: Install 10 Accordion Shutters CONSTRUCTI® NNF®'RIUTATI®N: 10 M1, owe Additional work toe e orme under this permit—check a appy: HVAC Ei Gas Tank ❑Gas Piping Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers FIGenerator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 3823.00 Utilities: Sewer[]Septic Building Height: ®VVNER/LES�SEfE: CONTRACTOR: Name Guy Dellegrazie Name: Michael Heisenberg Address:1704 PRIMROSE CT Company: Expert Shutters City: Ft Pierce State:FL Address: 668 SW Whitmore Dr Zip Code: 34949 Fax: City: Port St Lucie State.FL Phone No.718-285-0309 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. SIJPPLEf�IiEN AL CONSI-Rk1CTl®N TEN WV INEOi�MAT1®N.: 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 intend to obtain financing, consult with lender n atto7obefore commencing work_Gr-reAprding yourXotice of Commencement. s _Signature of Owner/Lessee/Agent Signa ure of ContractorYLicense Holder STATE OF FLORIDALLA CI p STATE OF COUNTY OF FLORIDA ]Y 1 ���'� COUNTY OF �C �y� l� The r oing instrument as cknowledged before me The®rday ing instrument was acknowledged before me this day of Mal( L� 20 nby thiof M 19 (Ilk 20 �7 by Michael Heissenbkg Michel Heissenberg Name of erson acknowledging) (Name of person acknowledging) =1_2 , � qLAI —V /J ' _ qj&&� 'Jq� (Signature of Notary Public-State of F106AY (Signature of Notary Public-State of Florid Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced I 11 -1(( 0,0114 HEATHER VIS Commission No. �o7�b (Seal)H�A3HER VlZZO Commission No. ��oal!)� �>/;-f�SEa1?, NOTPR,RLJOLI n)�ti r NOTARY PUBLIC c n'"'tet )raTATE OF FLOR A Revised 07/15/2014 `' `Comm#FF1 6266 ✓`e z Expires 11/13/2 18 'rr�✓"�€`iy��' Expires 1'1113/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS