HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05-09-2017 Permit Number:
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:
POPtJSED IMPRd1lEMET LQCATIt3N
d
Address: 5702 Spruce Drive
Legal Description: Indian River Estates Unit 09-BLK 78 LOT 4
Property Tax ID #: 3402-610-0029-000-7
Site Plan Name:
Project Name: Neal Sturgeon
Setbacks Front X Back: X
Install 3 Accordian Shutters.
Right Side: Left Side:
Lot No. 4
Block No. 78
❑HVAC ❑ Gi
Electric
Total Sq. Ft of Construction:
IV I Shutters
❑ Plumbing Sprinklers OGeneratorRoof Roof pitch
11Windows/Doors
1:1
Cost of Construction: $ 1,078.00
S Ft. of First Floor:Utilities: Sewer ❑ Septic
Building Height:
Name Neal Sturgeon
Name: Michael Heissenberg
Address: 5702 Spruce Dr
Company: Expert Shutter Services
P Y�
City: Fort Pierce State: FL
Address: 668 SW Whitmore Dr
Zip Code: 34982 Fax:
City: Port Saint Lucie State: FL
Phone No. 772-332-0243
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.
DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing wor or r In>; our /Mice of Commencement. 112
Owner
as AReyft for Owner
of Contractor/Lice Hold
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF 7S - r !� COUNTY OF 3�' L, A ci-c
The forgoing instrument was acknowledged before me
thisn-Fi'day of Q 201 by
(V) c�Inv i -4 - � s -en b o
(Name of person acknowledging) J
10�ka-J�-
—\/m
(Signature of Notary Pu lic- State of Flor'd
Personally Known OR Produced Identification
Type of Identification Producrredrr
Commission NOF-/ l 1 pori l0 b ,Seal) HEATHER VIZZO
ogle Ado' NOTARY PUBLIC
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this �l =day of 20 11 1 by
M) hQ.Q I 41,3-sinr
(Name of person acknowledging)
(Signature of Notary Pu lic- State of Flori )
Personally Known OR Produced Identification
Type of Identification Produced I
Commission No�fj 710 a6 (SeWiATHER VIZZO
a'1�n NOTARY PUBLIC
Comm# FF176266
Expires 11/13/2018
Comm# FF176266
Expires 11/13/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS