HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: % / Permit Number: ) '701, - 0411
RECEIVED
Building Permit Application JUN 19 2017
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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Address: 3708 WESTCHESTER COURT
Legal Description: SAVANNA CLUB PLAT THREE BLK 41 LOT 65
Property Tax ID#: 3425-705-0066-000-8 Lot No.65
Site Plan Name: Block No. 41
Project Name: MARYNIEWSKI
Setbacks Front X Back: X Right Side: X Left Side: X
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R 'A)LED CR)PTION QF £ COR
INSTALL 13 ACCORDIAN SHUTTERS
rtiona wor to e e orme un er t is permit-c ec a appy:
❑HVAC � Gas Tank Gas Pi in �_Shutters Windows Doors
— ❑ p g ❑ /
❑Electric 0 Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3,526.00 Utilities:n Sewer❑Septic Building Height:
1110101
r� CONTRA 71 j% ° i
Name JEROME&MERRILL MARYNIEWSKI Name: Michael Heissenberg
Address:3708 WEST,CHESTER COURT Company: Expert Shutter Services
City: PORT SAINT LUCIE State:FL Address: 668 SW Whitmore Dr
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No. C��2 33 6•– 0'971- 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.
SPLIUIEN TvI.CQ'NSTi1CTIQN LIEN tAW INFt) MATION k3
77-
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:-
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _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 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 ou intend to obtain financing, consult witrn7l5efore
commencingwork or in our otice of Commencement.
s
Signature o Owner/Lessee Cohtra fora ent or Owner Signature of Contractor/License Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF lU COUNTY OF
The'forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this C day of_�}l�lrl 20 Laby this n-1 day of 20 by
JAs� erg tr�
(Name of person acknowledging) (Name of person acknowledging)
Signature of N a Public-State of Florida) ignature of o ry Public-State of Florida)
Personally Known O./.— OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Produced ugmah Russell Type of Identification Produced
NOTARY PUBLIC
Commission No.G G lbs- 1 STATE OF FLOR D-Pbmmission NoG2,+U;) �9 ea6f�I h Russell
Corn#GG1088 NOTARY PUBLIC
9. 1 99 STATE OF FLORIDA
Comm#GGIo8398
Revised 07/15/2014
Expires 5/25/2021
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