HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: 4949 N HIGHWAY A1A 151
Legal Description: BREAKERS LANDING UNIT 151
Property Tax ID #: 1414-602-0054-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Datria
Setbacks Front X Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: mm�
Install 2 accordion shutters
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit – check all app
HVAC Gas Tank F]Gas Piping Shutters ❑ Windows/Doors
1-1 Electric ❑ Plumbing Sprinklers Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2,760.00 Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Datria
Name: Michael Heissenberg
Address: 17 Millpond Dr
Company: Expert Shutter Services
City: Lafayette State: NJ
Zip Code: 07848 Fax:
Phone No. 201-486-6720
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.
Name: Ttt— -
Address: 6m Nw wh st sufte 305
City: Virortia Garde,s State:
Zip: 331M Phone: -
FL
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
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 tgg obtain financing, consult with lender or an attorn�q before
ec�P[thp
commencing work ocrour Notite of Commencement. �� /
of Owner/Lessee/Contractor as
STATE OF FLORIDA
COUNTY OF V wil
The fgrgoing instrurne t.w s acknowledges) before me
this day of '1 �' i i 2076 by
Signature of Contractor/License Holder
STATE OF FLORIDA �1 i
COUNTY OF �� " ( f -
The for oing instrument was acknowledged before me
this day of lVlt , 20 Z� by
Michael HeiswnbOrg I Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature ofotary\/P1ublic- State of Florida )
Personally Known N OR Produced Identification
Type of Identification Produced
Commission No. 0A I)Taylor O'Brien
4ANOTARY PUBLIC
ESTATE OF FLORID
Comm# GG958999
Revised 07/15/2014 Expires 2/17/2024
(Signature of Notary Public- State of Florida )
Personally Known _� OR Produced Identification
Type of Identification PPoduced
CV11"t
Taylor O'Brien
Commission No. �9;
,�"ARY PUBLIC
STATE OF FLORIDA
Expires 2/17/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ESS EXPERT
SHUTTER SERVICES INC.
"We're Taking The Shutter Industry By Storm"
668 S.W. WHITMORE DR.
PORT ST. LUCIE, FL 34984
(772) 871-1915 (800) 749-9056
FAX (772) 871-0990
SHUTTERS MEET ALL LOCAL BUILDING CODES APPROX. DELIVERY 12 to 14 WEEKS
FIVE YEAR WARRANTY FOR PARTS AND LABOR. QUOTES ARE VALID FOR 30 DAYS.
SHUTTERS MUST BE MAINTAINED PROPERLY (SEE MAINTENANCE INFORMATION). 140
Email to: sdatria123@aol.com Call me: 586-393-9556 Email: cameron@expertshutters.com
6CAMEROCNCOR(BB�S
TOTAL
$2,760
DEPOSIT
$1,030
BALANCE
F $1,730
WWW.EXPERTSHUTTERS.COM
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Datria Residence
4949 N Hwy Al A #151
Fort Pierce