HomeMy WebLinkAboutBuilding Permit Application All APPLICAB E INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATIQN
Address: 9412 Scarborough Ct
Property Tax ID#: 3322-507-0009-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Howard
;DETAILED DESCRIPTION QF WORK
Install 26 accordion shutters
CONSTRUCTION;INFORIVIATIQN
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 18,471.00 Utilities: —Sewer —Septic Building Height:
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51,
UWNER/LESSEE CQNTRACTOR:.
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Name Allan L Howard Name:Michael Heissenberg
Address:9412 Scarborough Ct Company:Expert Shutter Services
City: Port St Lucie State: FL Address:668 SW Whitmore Dr
Zip Code: 34986 Fax: City: Port St. Lucie State:FL
Phone No.772-462-4444 Zip Code: 34984 Fax:
E-Mail: Phone No 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail Permits@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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
5UPPLEMENTAL CONSTRUCTION,LIEN LAW INFORMATION :
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Tilteco Name:
Address:6355 NW 36th St.Suite 305 Address:
City: Virginia Gardens State: F!_ City: State:
Zip: 33166 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 SITEE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINAIy ING, CONSULT
WITH YOUR LENDE, ATTORN )BEFORE RECORDING YOUR NOT MME EMENT
Signature of Owner/Lessee/Contractor as gen for Owner Signature of Contractor/License Holdee
STATE OF FLORIDA STATE OF FLORIDA v
COUNTY OF St.Lucie COUNTY OF St.Lucie
The for oing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this -1 da of �� 20n b this I da of 20 b
Y X — Y �_ V O � Y
Michael Heissenberg
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
017 0` VLA
(Signature of Notary Public-State of Florida) Shanon O'Shea(Signature of Notary Public-State of Florida)
*,,%A 44_ NOTARY PUBLIC Shanon O'Shea
Commission No C� ESTATE OF FL �Tlission No. GG258038 �p NR 1)
a� oQ NOTARY PUBLI
a Comm#GG2 8038 ESTATE OF FLOR D
01NOM Expires 9JI �'ZWZ Comm#GG2580 8
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEAT
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED
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