HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: 'e�. Permit Number:
t .�
• RECEIVED APR2 �, 7017
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 111J�PROUEMENT LOCATION ..
Address: 7616 Greenbrier Cir
Legal Description: POD 19 PUD II GREENBRIER LOT 66
Property Tax ID#: 3322-700-0071-000-5 Lot No.66
Site Plan Name: Lawrence E Walker Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DES+ R1P1"IQN_OF V11QRK:
NF
Install 4 Accordion Shutters
CQNSTRUCTIQN„INFORMATION `$
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Additional work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank F_]Gas Piping Shutters ❑Windows/Doors
❑Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6310.00 Utilities:cn Sewer 0 Septic Building Height:
O.UVNER/LESSE,E „,.;
CONTRA(TOR:
Name Lawrence E Walker Name: Michael Heissenberg
Address:7616 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.772-466-3271 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN.INFQRMgTION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:3 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 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 inspectio If you intendo obtain financing, consult with lender or an attorne before
commenc' work or c ,our btice of Commencement.
l S
—Signature of Owner/Lessee/Agent Signature of Contractor/U ens o er
STATE OF FLORIDA54 J � ,� STATE OF FLORIDA 5�_ J'� _ ,
COUNTY OF L ' COUNTY OF (_
The-forgoing instr ent was acknowledged before me The forging instrument was acknowledged before me
thi +'day of HQC," ) 20 1-1 by thislhday of () ) 20 1 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
C�rZ4AI �.
(Signature of Notary Pub c-State of FI i (Signature of Notary Publ' -State of Florid
Personally Known OR Produced Identification Personally Known 7OR Produced Identification
Type of Identification Produced Type of Identification Produced
��P.421gss HEATHER VIZZO l c;{lE✓ }tFw J2O Commission MII II -- idOTARY PUPLI
ARY PUBLIC Commission No.
STATE OF FI_O
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STATE OF FLORIDA :t�:`-';``_,`•a
#:> e` `•„� Comm##FFi 6Z
spry , �s Expires 11/13/2018 '<<c �” Expires 11/1320
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS