HomeMy WebLinkAboutGALLAGHERALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
J _
•
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
PROPOSED IMPROVEMENT LOCATION:
Address: 9548 Avenel Lane
Legal Description: Pines At The Reserve Lot 28
Property Tax ID #: 332-502-0034-000-6
Site Plan Name:
Project Name: Gallagher
Setbacks Front X Back: X Right Side: X Left Side: X
DETAILED DESCRIPTION OF WORK:
Install 15 Accordian Shutters And 1 Clear Panel Shutter
Lot No. 28
Block No.
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit — check a that appy:
HVAC 11 Gas Tank F]Gas Piping Shutters ❑ Windows/Doors
Electric ❑ Plumbing ❑ Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 6868.00
SFt. of First Floor: _
UtiIitiestSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paula Gallagher
Name: Michael Heissenberg
Address: 9548 Avenel Lane
Company: Expert Shutter Services
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-708-2779
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-871-1915
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Haleigh@ExpertShutters.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Tateoo Inc.
Address: 6355 NW 36th Sa Suite 305
MORTGAGE COMPANY: x Not Applicable
Name: _
Address:
City:.yirgWa Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
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 ruses, 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 auditions,
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 inspectip. If you you inten, to obtain financing, consult with lender or an attorney efore
commencing work or r g your otice of Commencement.
xir
ature of Own
as Ai(ent for owner j Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF + COUNTY QF _ k i ef
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _ZZ day of 20 n by this ZZ day of , )l J i-'yC , 20 n by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging } (Name of person acknowledging)
I(Signature 0otary- Public- State of Florida )
Personally Known v OR Produced Identification
Type of Identification Produced
�(ignature f otary Public- State of Florida )
Personally Known V OR Produced identification
Type of Identification Produced
Commission Nc6C-- �Q Hatelgh RusseN Commission No. j (seal)
NOTARY PUBLI _gemr .
. Commit GG101 3W
Revised 07/15/2014 Expires 512512021
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