HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
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 X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 13517 S INDIAN RIVER DR 804
Legal Description: INDIAN RIVER LANDING BLDG 8 UNIT804 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4509-804-0051-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Nye
Setbacks Front -/v\ Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 6 accordion shutters
CONSTRUCTION INFORMATION:
—Additional work to be performed under this permit — check all that appy:
HVAC Gas Tank []Gas Piping 10 Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,306.00
S Ft. of First Floor: _
Utilities:D Sewer 11
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Karen M Nye
Name: Michael Heissenberg
Address: 288 W 71st St PHA
Company: Expert Shutter Services
City: New York State: NY
Zip Code: 10023 Fax:
Phone No. 970-948-4351
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: T�InG Name:
Address: 6m Nw 3m sc suit 3w Address:
City: v� oar 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 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 jobsite
before the first inspection. If you intend t obtain financing, consult with lender or an attorn before
commencingwork o our No ' e of Commencement.
s
Signature of Owner/Lessee/Contractor as Age"r Owner
Signature of Contractor/License Holder
STATE OF FLORIDA(
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STATE OF FLORIDA .�1� r l^
COUNTY OF \ V` 1
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COUNTY OF � 1 `C
The for oing instrument was acknowledg efore me
this day of 20 by
The foI'rF oing instrument was acknowledged before me
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this t� day of. 20 by
Mi hed 9
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida }
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Personally Known/ OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. � q Q q Taylor O'Brien
NOTARY PUBLIC
(T��4 �� q TaylorO'Brien
Commission No. 'I I) SC�
d STATE OF FLORI
A � o (� n��rARY PUBLIC
c STATE OF FLORIDA
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
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