HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l U
Date: LAI oZ4 1 n Permit Number:
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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
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ISR, SED ,"IM ROVEMENT LOCATIC}N
Address: 9013 Houndslake Ct
Legal Description. MAIDSTONE (P13 43-11) LOT 109
Property Tax ID#: 3322-505-0118-000-8 Lot No.109
Site Plan Name: Richard L Ferrara Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
oti-AI �aDESCRPTIC►N MJF WaRK
Install 11 Accordion Shutters
C( NSTRUCT(C}N 1NFCtR(1JlAT(ON `
Additional work to be nertormea under triis permit—check all appy:
❑HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5666.00 Utilities:n Sewer[]Septic Building Height:
. RA,
.. a T Cl'OR y s
Name Richard L Ferrara Name: Michael Heissenberg
Address:9013 Houndslake Ct 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.610-883-0858 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 INFOW"ATION '. ;
4
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: XX 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 Recorda 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 'obsite
before the first inspectlJo13,If you intend tjolobtain financing, consult with lender ora ttorney ore
commencin work o deco d: of-.Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/Lice se Holder
STATE OF FLORIDA 1 �C t COUNTY F ORIDA l
COUNTY OF L� Y L,�C1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this )q day of 1C�D( 20 nby this��Iay of D 20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
\�\
(Signature of Notary P blic-State of Flo ri (Signature of Notary�7013
State of Florida)
Personally Known OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
c HEATHER VIZ?0 �l�a ( H�NTIIER VIZZO
Commission N -h 0 7 tr,� "41Se9.1.}„-AFZY PUBLIC Commission No. aa�'Sial)
o ^./�z a s. NO i i ?,'v'C"I JrILIC
4--STXFE OF FLORIDA �Lr
C.RID
Expires 11/13/2018Revised 07/15/2014 ;P.es 11;13 201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS