HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: tk1a$,�� Permit Number: F,104r Vro q;
RECEI`'r7D APR ? n, 2017
I I'll-Jill Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
PRO,POS ED:JMPRCj11,EMENT10CATIbN': - "
Address: 119 Queen Elizabeth Ct
Legal Description: QUEENS COVE-UNIT 1- BILK 8 LOT J
Property Tax ID#: 1414-701-0071-000-4 Lot No.J
Site Plan Name: Donna L M Schneider Block No. 8
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF 1NORK
3
Install 13 Accordion Shutters
CC?NSTRUCTI„ON 1NFORMATLON y
Additional work to be Derformed under this permit—check a app y:
HVAC Gas TankE]Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 7658.00 Utilities:cn Sewer Septic Building Height:
OWNERJLESSEE CONTRACTOR:
Name Donna L M Schneider Name: Michael Heissenberg
Address: 119 Queen Elizabeth Ct Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State: FL
Phone No.561-319-1189 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.
S:lIPkEMENTACQNSTRlJCT1aN �:IN tAU1J 1NFORMATtQN
moi%± } Y�>N.z?�Y - w _
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 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 osted on the jobsite
before the first inspection. I nd too in financing, consult with 19F4PIl an a torne efore
commencing work opr rd.i our Notice Commencement.
s
_Signature of Owner/L ee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA "may STATE OF FLORIDA 1 �
COUNTY OF _) . L VL�I -�. COUNTY OF Cr
The forgoing instrument was acknowledged before me The forgoing instrumen was acknowledged before me
this -day of r 20 Lby this dayof_ 20 _by
Michael Heissen4g Michael Heissenberg
Name of person acknowledging) (Name of person acknowledging)
c
(Signature of Notary Pu lic-State of FI ri iY/ (Signature of Notary PubIJ6 State of Florid )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of IdentificationProduced
Commission N ) ulo CATHER VIZZO Commission Noti$ J
. KE Ts'PFER VIZ;
NrJj'AF" Y PUF3LIC,
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Revised 07/15/2014 �" p ' .:. n
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS