HomeMy WebLinkAboutHeizler Deck Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
COUNTY
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 TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 6401 S Indian River Drive, Fort Pierce, FL 34982
Property Tax ID ti: 3412-123-0001-000-9
Site Plan Name: Terry Heizler
Project Name: Heizler Deck
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Construct wood deck
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
Total Sq. Ft of Construction:
Cost of Construction: $ 20,000.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Terry Heizler
Name: David San George, Jr.
Address:6401 S Indian River Drive
Company: Showcase Designer Homes, LLC
City: Fort Pierce, FL State: _
Zip Code: 34982 Fax:
Phone No.772-233-7059
Address:3393 SW 42nd Avenue, Suite 1
City: Palm City State: FL
Zip Code: 34990 Fax: 772-546-8420
Phone N0772-546-5144
E-Mail: heizlersnursery@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailbrandi@showcasedesignerhomes.com
State or County License CRC1331112
It 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:WhOWHo E"gmeering
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad dress: "s, Si. Lucie atia. "lt 201
Address:
City: F rtPle State: FL
Zip:349" Phone772409-1003
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Terry Hetzler
BONDING COMPANY: _Not Applicable
Name:
Address:640+sINIWH1verl) a
Address:
City: FW Plane. FL
City:
Zip: um Phone:M-2337W!)
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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORONG YOUR NOTICE DF COMMENCEMENT-"
as Agent for Owner
STATE OF FLOW STATE OF FLORID
COUNTY OFtk1Y1 COUNTY OF 11\Q(i 1 Y1
The forgoing instrument waLs aC . Knowiedggpbefore me
this M day ofr8 il 20-LD by
Ihru W-A7ler
Name of persorl makin statement.
Personally Known T OR Produced Identification
Type of Identification
The forgoing instrument wa$ acknowledged before me
this i 3 day of Mat c" , 20 2jU by
Name of person
Personally KnownV OR Produced Identification
Type of Identificatlon
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