HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
I IM
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 12961 S INDIAN RIVER DR
Commercial Residential X
Property Tax ID #: 4504-340-0008-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Reeves
DETAILED DESCRIPTION OF WORK:
Install 9 panels & 16 accordion shutters
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping X Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 8,276.00
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:. .
Name Edward J Reeves (TR) & William Fish (TR)
Name: Michael Heissenberg
Address: 12961 S Indian River Dr
Company: Expert Shutter Services
City: Jensen Beach State: Y►-
Zip Code: 34957 Fax:
Phone No. 503-260-0694
Address: 668 SW Whitmore Dr
City: Port St. Lucie State: FL
Zip Code: 34984 Fax:
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 permits@expertshutters.com
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.
of
DESIGNE ENGINEER: _ Not ApplicableMORTGAGE COMPANY: x Not Applicable
Name: Tilt—Inc. Name:
Address: 6355 NW 36th St Suite 306 Address:
City: VirgiNa Gardens 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 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 jobsite
before the first inspection. If you intend obtain financing, consult with lender or an attorn before
commencingwork o our No;-?e of Commencement.
s
Signature of Owner/Lessee/Contractor as Agen r Owner Signature of Contractor/License Holder
STATE OF FLORIDA (` �I 1( I� STATE OF FLORIDA �' Ik r.I�
y V 1 COUNTY OF I
COUNTY OFl
The f rgoing instrument as acknowledged before me The forgoing instrument pwas acknowledged before me
this day of u 20 ruby this �? day of Ju �I 1 Z6 by
, 120
Michael Heissenbft Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
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Y�J
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. `�- �{�t�o(� O'Brien R (J S a��
1Q �ARYq�� NJDTP(RYPUBLIC Commission No.V
TaA?'6'Brien
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-STATE OF FLORIDA a< �� NOTARY PUBLIC
y Comm# L OF FLORIDA
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Revised 07/15/2014 S�Nee �e�0 Expires 2/17/2024 �s �� Comrn# GG958999
Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS