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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J1 _
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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: 12274 Cessna Terrace
Legal Description: Treasure coast Airpark Lot 1
Property Tax ID#: 4224-501-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name: AMES
Setbacks Front Back: x Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 1 Accordion Shutter
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: SFt. of First Floor:
Cost of Construction: $ 967.00 UtilitiestSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Paul &Kathleen Ames Name: Michael Heissenberg
Address: 12274 Cessna Terr Company: Expert Shutter Services
City: Port Saint Lucie State:FL Address: 668 SW Whitmore Dr
Zip Code: 34987 Fax: City: Port Saint Lucie State: FL
Phone No.772-418-1224 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page ( if different E-Mail: Haleigh@ExpertShutters.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.
13 ?� MEIA CC [VSUCTf7ll LIt I,AW IN
DESIGN
\
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tilteco Inc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 you i end to obtain financing, consult with lender or an attorn y before
commencing w r oing Vffur Notice of Commencement.
W/Z t,�_ _
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Signature of Owner/Lessee/Contract Agent for Owner Signature of Contra c or/License Hoide
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOFS& L.,l CxC_ COUNTY OF !F>� CA-C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_K day of ()\J eM'0(fV 20 J'_1_by this_SL day of �(�y`� chCY,20 n by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) {Name of person acknowledging)
Lla_e_�1/1'1 A 4"
(Signature of V
tary Public-State of Florida Isignature of j
ry Public-State of Florida}
Personally Known y/ OR Produced Identification Personally Knowny1 OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No6G V-42-3 2- (Seal) Raleigh Short t,.'Commission No.GG NS'54 {SeA6igh Short
NOTARY PUBLIC �+ NOTARY PUBLIC
of
YS
STATE OFFLORIDARevised 07/15/2014 �Com#GG148342 W we e
Comm#GG148342 Expires 5/25/2021 Expires 5/25/202
1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
©ATE
COMPLETE
INITIALS