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HomeMy WebLinkAboutBuiding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: J1 _ • 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: 123 Queen Bess Court Fort Pierce, FL 34949 Legal Description: Confidential Owner Property Tax ID#: 14-14-701-0156-000-4 Lot No. Site Plan Name: Block No. Project Name: Cuervo Setbacks Front X Back: X Right Side: X Left Side: X DETAILED DESCRIPTION OF WORK: Install 13 accordion shutters and 1 panel shutter CONSTRUCTION INFORMATION: Additional work to e er orme under this permit—check a that apply: �HVAC 11 Gas Tank Gas Piping Shutters ❑Windows/Doors Electric ❑ Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 3,233.00 UtilitiestSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Luis Cuervo Name: Michael Heissenberg Address: 123 Queen Bess Court Company: Expert Shutter Services City: Fort Pierce State:FL Address: 668 SW Whitmore Dr Zip Code: 34949 Fax: City: Port Saint Lucie State: FL Phone No. 305-299-0573 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. U EI IE 1TA CONSTiUCTf©N.LIEN LAW INFORMATION. DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Tiltecclnc. 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 wqPkJJ9­r 46ur Notice of Commencement. s Signature of Owner/Lessee/Contract Agent for Owner Signature of Contra- or/License Holde STATE OF FLORIDA STATE OF FLORIDA COUNTY OF f{- 1. J A e_ COUNTY OF�t."C.►'M The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of V2 Y�eY, 20 ]1by this day of (��V'e�1(�N= 20 �� by Michael Heissenb&g Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging) Lla_t�fil-I A 4" (Signature of V tary Public-State of Florida Isignature of J ry Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No.GG I�i D��{Z (Seal) Raleigh Short Commission No.c�1�,�R34 �SeA6igh Short .440kNOTARY PUBLIC �+ NOTARY PUBLIC wo -le' STATE OF FLORIDAComm#GG148342 Revised 07/15/2014 Comm#GG148342 ° Expires 5/1483421 Expires 5/25/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS