HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: LPermit Number: �� y
RECEIVED
• AUG 16 2020
- Building Permit Application permitting.Department
Planning and Development Services Btu 6Hsle Eednty
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7307 Elyse Cir
Property Tax ID#: 3416-801-0034-000-2 Lot No.13, 14,& 15
Site Plan Name: Block No. C
Project Name: Catherine Bierbach j
DETAILED DESCRIPTION OF WORK:
..1-y 57"4 I I = ace.0-dNs S vTr�K — i n1OgC►Colo N i X4.1 5�u 149S
PL
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping ►�Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: j
`T sc,
Cost of Construction:$ � Utilities: _Sewer _Septic Building Height:
I
OWNER/LESSEE: = CONTRACTOR:
Name Csthedhe R Braden Bierbach Name:Edward J. Heritage_
Address:7307,EIyse:Cir. Foldin Shutter.Cor oration
. Company:,Folding, ...9 P
City: Port St,-Lucie: State:_ Address:1862-Dr. Martin�LutheKing Jr. Blvd
Zip Code: 34952 Fax:NIA City: VHest.,Ralm Beacli; State:FL
Phone No.303=888-1911 Zip Code. 34952 -�"; Fax: 561-640-8204
E-Mail:NIA Phone No 561-683-4811
Fill in fee simple Title Holder on next page(if different- E-Mail info@foldingshutters.com
from the Owner listed above) State or County License SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 thepermit 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN.,FINANCING, CONSULT
WITH YOUR'LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owpe—ssee/Covdactor as Agent for Owner Signature of Contra icense FJoger
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
The fol-going instruylent was acknowledged before me The fo going instru ent was acknowledgg before me
this Co day of f—rV�'I 20 17 by this V day of `1 2011 by
Edward J.Heritage Edward J.Heritage
Name of person making statement. Name of person making statement.
Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Type of Identification
Prod Produced
(Signature of Notary Public- F18 SII3 A.Evans (Signature of Notary Public-Stat WTARY PUBLIC
Evans
o NOTARY PUBLIC
Commission No. a S gI F FLORIDA STATE OF FLORIDA
c � Q Commission No. UGG262789
s�N �0a Comm#GG262789 N El��• Expires 10/11/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19