HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I"^NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �" l.(' Permit Number: 1�
BuildingVM I
Permit Application . 6� �,,...)�
Planning and Development Services p~ J U L. ra s'
Building and Code Regulation Division PFFii,f+ITTiNG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter .
yP`RQPQSa IMPROVEMENT LOCATitN _r. 3 .. r.F.gip;. s
Address: 804 S 40th Court
Legal Description: HARTMAN HEIGHTS UNIT 2-LOT 6(0.50 AC)(OR 3616-1653)
Property Tax ID#: 2417-603-0006-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Pineda
.Setbacks Front x Back: x Right Side: x Left Side: x
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Install 6 Accordian Shutters And 6 Mill Panels
� ISTRUCTI !'INfORN�ATIQN �� � �Y ��
Additional work toe e orme under this permit—check a appy:
.IIHVAC Ei Gas Tank E]Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator EIRoof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3,668.00 UtilitiesInSewer Septic Building Height:
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Name Mario Pineda Name: Michael Heissenberg
Address:804 S 40th Court Company: Expert Shutter Services
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City: Fort Pierce State:FL Address: 668 SW Whitmore Dr
Zip Code: 34947 Fax: City: Port Saint Lucie State:FL
Phone No.786-272-0318 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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:-G 1Wl"C) nC— Name:
.AddressA,P?,� I,_1W ,�3U+t- SJ- S Address:
City:04in,wu StateM City: State:
Zip: 555 L _U Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 inspecti you intend to obtain financing, consult with lender or an attorney b ore
commencing work rec rdi r Notic of Commencement.
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Signature of Own er/Lesse Contractor as__A_ ent f Owner Signa ure of Contractor/License Holdell/v
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF A}- LA I COUNTY OF_ J lJl lC��
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this2Zdayof 20 Clby this ? dayof „ ,20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
( ignature of Noary ublic-State of Florida) Signature tj
ary Public-State of Florida)
Personally Known �//OR Produced Identification Personally Known V/OR Produced Identification
Type of Identification Produced Type of Identification Produced
J Raleigh us__
Commission No�-1(^-)1� ,jv!'�J N07ARY PUB com `,mission No1C��3� (Seal
=STATE OF FL RIDA Raleigh Ru
Comm#GG1 99 NOTARY PU C
%71100' Expires 5/25/2029 STATE OF FL IDA
Revised 07/15/2014 Corn”G131 99
Expires 5 29
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS