HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 375`2-02D Permit Number:
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Building Permit Applicatiog, 4T OS
Planning and Development Services
Building and Code Regulation Division /' �ue�°o?P4
2300 Virginia Avenue,Fort Pierce FL 34982 c04 q �y7t
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Shutter
RENT LOGATiO={U
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Address: 9431 Windrift Cir.
Property Tax ID#: 2310-500-0025-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Richardson
DETAILED DESCRIPTION DF WORK z ,
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Install 5 accordion shutters
CONSTRUt~TIO INFORMATION.
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:$ 2,838.00 Utilities: —Sewer _Septic Building Height:
fiJ1�Vj�16R/LESSEE EONTRACT( R
Name Maegan Richardson Name:Michael Heissenberg
Address:9431 Windrift Cir. Company:Expert Shutter Services
City: Fort Pierce State: FL Address:668 SW Whitmore Dr
Zip Code: 34945 Fax: City: Port St. Lucie State:FL
Phone No.321-689-7825 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.
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SUPPLEMENTAL N ,ATI
CQNSTRUCTIQN Lf` N LAW fFC?R Qf�I
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Tilteco 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: 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FI ANCING, CONSULT
WITH YOUR LENDS R, A RNEY BEFORE RECORDING YOUR NOTICE O C ENCE NT.dl "
Signature of Owner Lessee/Contractor a gent for Owner Signature of Contractor/License ffolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Luce COUNTY OF St.Lucie
The for oing instru nt was acknowledged before me The fo oing ins7runXwas acknowledge before me
thisdayof Veb 20 by this day of 2 by
Michael Heissenberg 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
A nlo��
(Signature of Notary Public-State of FI la Shanon O'Shea (Signature of Notary Public-State of Florida)
NOTARY PUBLIC ��y� Shanon O'Shea
Commission No. GG258038 a STATE OF FLORI &ommission No. GG258038 Q� MTA PUBLIC
Comm#GG2580380 o STATE OF FLORI A
xpires .s� �� gg��g225�2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEAT '�f� IUXMROVE02
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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