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HomeMy WebLinkAboutPermit App GillumALL 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: 8845 Champions Way Legal Description: LAKES AT PGA VILLAGE (PB 43-32) BILK A LOT 12 Property Tax ID #: 3334-501-0026-000-1 Lot No. Site Plan Name: Block No. Project Name: GILLUM Setbacks Front -x Back: x Right Side: x Left Side: x DETAILED DESCRIPTION OF WORK: Install 16 accordion shutters 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: $ 9,346.00 SFt. of First Floor: _ UtiIitiestSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Lonnie & Patricia Gillum Name: Michael Heissenberg Address: 27860 Grix Road Company: Expert Shutter Services City: New Boston State: MI Zip Code: 48164 Fax: Phone No. 734-782-5927 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. DESIGNER/ENGINEER: — Not Applicable Name: Tilteco Inc. Address: 6355 NW 36th St Suite 30E City: Virginia Gardens Zip: 33166 Phone: FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone: State: FL X Not Applicable MORTGAGE COMPANY: Name: Address: Citv: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. X Not Applicable State: —Not Applicable 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 I end to obtain financing, consult with lender or an attorn before the first inspection If you i,01 Vy before commencing wQPk-9—rY� �oing Vffur Notice of Commencement. /Z Signature for Owner I Signature of Contra cTor/Li ce nse H STATE OF FLORIDA STATE OF FLORIDA COUNTYOFS& L.A_A.CAe_ I COUNTY OF � L "C.A -C The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisday of N( '0)\IeMCV 20 J'_1_by this —SL - day of 1,)014-C_M\CXY 20 n by _K Michael Heissent'69 Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging) L" Q'IA S3aJg=,_= �(Signature of V tary Public- State of Florida ISignature of tj ry Public- State of Florida Personally Known y/ OR Produced Identification Personally Known v1 OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No6rm V-42-3 2- (Seal) Raleigh Short Commission No.G G I Y S'5 4 (SeA6igb Short - — NOTARY PUBLIC NOTARY PUBLIC I — - YS -eRl STATE OF FLORIDA 77we ST. ATE eF FI: Revised 07/15/2014 Corrim# GG148342 Comm#GG148342 wcwv Expires 5/2512021 Expires 5125/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW -©ATE COMPLETE INITIALS 1.