HomeMy WebLinkAboutBuilding Permit Application ^ 1
I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' rl Permit Number: �0
[R—V C L[ P Oso {
`_.._.,ik`
I �� fi 4 ems'Era'L�.s��'
m
Building Permit Application APR P
2 2017
Planning and Development Services PER,"AF TIN.G
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 Residential X
PERMIT APPLICATION FOR: Shutter
P'R`OPOSED�IIVIIPRO�EMENT LO�ATI,CQN . �
Address: 9690 Fairwood Ct
Legal Description: FAIRWAY LANDINGS PARCEL 9 LOT 8
Property Tax ID#: 3322-500-0012-000-0 Lot No.8
Site Plan Name: Edsel Billingy Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAI`LE, ®E5_11;'TI®N ®F1111 SRI K:
Install 17 Accordion Shutters
rtiona war to e e orme un er t is permit–c ec a appy:
HVAC �Gas Tank Gas Pi in �_Shutters .Windows Doors
— ❑ p g ❑ /
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1629.00 Utilities:cn Sewer Septic Building Height: 70'
OVI/`IU ER/LESSEE: C®Nl"RACTC}R:
Name Edsel Billingy Name: Michael Heisenberg
Address:9690 Fairwood Ct 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.240-216-2740 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.
,a
Sll�IPEIUIEENA C�IU�STRl1 ION LIEN I.PrW IN �C)FtiiUlA-I'IU N
n,
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: x_Not Applicable
Name: Tilteco,Inc. 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 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 inspection. If you iDtend to obtain financing, consult with lender or an attorney before
commencing work qr_regArdingX66r Notice of Commencement.
s
_Signature of Owner/L ssee/A en Si&ffaFe of Contracto icens Hol er
STATE OF FLORIDA e STATE OF FLORIDA
COUNTY OF }- SI r,/!Q ACOUNTY OF
The forgging instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �nn Q f C 20 D l by thialJ _ day of 010 k-L 20 by
Michael Heissenbkg Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
)fw� q/224��2 — LV20'2" qzA_��
�
(Signature of Notary Public-State of Flori (Signature of Notary Public-State of Florid
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced t Type of Identification Produced
Commission ivs: 7 �a�b�y � (9>'�a�TF9ER VI?ZO Commission N 710o��G (Seal)
NOTARY{PUBLIC HEATHER Vt-ZO
°6:'.ac TF OF FLORIDA PUBLIC
s 3 Comm t FF176266 xiYfi �C� OF FLO 1
Revised 07/15/2014 s° r'K9�16 Expires 11113/2018 <� ;c �iii!FF17S26v
20113�� srLa 1'1/13!
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
CO M P LETE
INITIALS