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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �� Permit Number: 1`I d I.0GV,3 =.. RECEIV D APR 902 7.017 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Shutter PROPOSED IMPROVEMENT LOCATIC►N Address: 7711 Greenbrier Cir Legal Description: POD 19 PUD II GREENBRIER (PB 41-5) LOT 91 Property Tax ID#: 3322-700-0096-000-6 Lot No.91 Site Plan Name: Anthony Pappas Block No. Project Name: Setbacks Front Back: Right Side: Left Side: QETAILED DESCRIPTION OF WORK } 1 4 Install 8 Accordion Shutters _ ._ UCTlbN IIN_FIORIU,. TATTRCONS Additionalwork to be nerformed under this permit—c ec a apply: Gas Tank Gas Piping Shutters ❑Windows/Doors11 -` Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 4233.00 Utilities:cn Sewer Septic Building Height: OWNER/LESSEE 'CONTRACTAR: Name Anthony Pappas Name: Michael Heissenberg Address:7711 Greenbrier Cir Company: Expert Shutters City: Port St Lucie State:FL Address: 668 SW Whitmore Zip Code: 34986 Fax: City: Port St Lucie State:FL Phone No.772-595-0003 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. 5 Sp !ON,,,LIEN LAW-1NFORMATI�N,: ,f ;SsyC 5... DESIGNER/ENGINEER: x 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: 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 int d to obtain financing, consult with lender or an attorney b fore commencingwork o o Notice of Commencement. S _Signature of Owner/Lessee/Agen Signature of Contractor/License Holder STATE OF FLORIDA p STATE OF FLORIDA COUNTY OF l,(.C I l COUNTY OF 51 L hC 14 The for oing instrument was acknowledged before me The for going instrument was acknowledged before me thisday of 1 20 17 by this��day of Ci I 20 _L-) by Michael Heisse4g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging (Signature of Notary Pu ic-State of Florida) (Signature of Notary �7011 -State of FI i Personally Known OR Produced Identification Personally Known Produced Identification Type of Identification Produced Type of Identification Produced Commission No. H�)lTN�R VIZZO Commission No. -cl SO)(0 _ HER VIZZO 11l §��'�y�s seal) �vQs N;?� NOTARY PUBLIC.. sTAiEOFFL©I;!CA 0 '( rJ Comm#FF17E"'."� Revised 07/15/2014 Expires i/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS