HomeMy WebLinkAboutBuilding Permit ApplicationIJ -U I I-- lta L _1,•'
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 14AY Permit Number:
e LY3 FL
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
K
PSR?OSED 111tROVEMENT„L�CATItN 3
Address: 6691 DICKINSON TERRACE
Legal Description: OLEANDER PINES REPLAT BLK 1 LOT 160
Property Tax ID #: 3415-706-0031-000-6
Site Plan Name:
Project Name: GEORGE SMILEY
Setbacks Front X Back: X
INSTALL 17 ACCORDIAN SHUTTERS
Right Side: X Left Side: X
Lot No._
Block No.
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $5,443.00
Sprinklers Generator
SFt. of First Floor: _
Utilities:Sewer Septic
0 Roof Roof pitch
Building Height:
�� NER1LESSE• "'� �
CONTRACTOR '� ``' �`X`
Name GEORGE SMILEY
Name: Michael Heissenberg
Address: 6691 DICKINSON TERRACE
Company: Expert Shutter Services j
Address: 668 SW Whitmore Dr
City: PORT SAINT LUCIE State: FL
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
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
State or County License: 16572
from the Owner listed above)
IT value OT construction is }15uU or more, a RECORDED Notice of Commencement is required.
0
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY;
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
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 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 inspectioIf you intend to obtain financing, consult with lender or an attorney before
commencing work or r, rcnnR voivMgotice of Commencement. /I
re of Own er/Nkssek/Contractor`a$ A(sent for Owner I Sisndfure of ContractorKicense' Holde
STATE OF FLORIDAl- STATE OF FLORIDA ��,
!
COUNTY OF HJT, LI/ C COUNTY OF L.L 4 (i--
The forgoing instrument was acknowledged before me
thl day of 20 )-)by
(IV) I Ono I� W nh-
(Name of person acknowledging)-3�-%47�-U J
2�\/
(Signature of Notary Pu lic- State of Flo i
Personally Known OR Produced Identification
Type of Identification Produced
Commission NoG7 aw aoghRy43 al),IEATHER VIZZO
NOTARY PUBLIC
The forging instrument was acknowledged before me
thisl_i <day of 1rnQ 20 L by
('" )•Ck a i ( W 5 wn cg
(Name of person acknowledging)
qfeoc�
gL""�d
(Signature of Notary` Pu
Hc- State of Flor'
Personally Known V OR Produced Identification
Type of Identification Produced /
Commission NSin + �(1 �t0". o HEATHER VIZZO
NOTARY PUBLIC
STATE OF FLORII
" Comm# FF176266 04MIS a 11 • ""'
Revised 07/15/2014 s/�cE }9�o Expires 11/13/2018 Expires
res 1I1/13l201
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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INITIALS