HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/10/2020 Permit Number:
•
r e
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
PERMITTYPE: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: _,a'i i 5eivitz Koad
Property Tax ID #: 2430-144-0001-00-7
Site Plan Name: Pulliam
Project Name: Pulliam
DETAILED DESCRIPTION OF WORK:
Installing 5 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 Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 3,573.00 Utilities: _ Sewer _ Septic
Lot No._
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James Pulliam
Name: Michael Heissenberg
Address: 3311 Selvitz Road
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No. 772-595-1445
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)
If of ;' e�cnn _
E-Mail Permits@expertshutters.com
State or County License 16572
_- _ r____ - ,, VUl-C vi I-urnrnencemem Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
N may, may_. i "EuTAL GO��i'RIJCT�ON LfEN LAW INFORMAT10�1
DESIGNER ENGINEER: =
— Not Applicable MORTGAGE COMPANY: x Not Applicable
Name. Tiltecolnc, Name:
Address: 6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City:
Zip: 33166 Phone: Zip: State:
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 t9i, obtain financing, consult with lender or an attor n before
commencing work o. our Nog6e of Commencement. ire
ature of Owner/Lessee/Contractor as Agen r Owner I Signature of Contractor/License Ho
STATE OF FLORIDA (�1 �i STATE OF FLORIDA ,(1L
COUNTY OF v \ c COUNTY OF VT
The forgoing instrument was acknowledg efore me
this day of Ju Mu 20by
Michael Hsissenberg
(Name of person acknowledging)
M -
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Taylor O'Brien
Commission No. AbTARY PUBLIC
ESTATE OF FLORIDA
Revised 07/15/2014 44W* Expires 2/17/2024
The fo oing instr (�'e Itwas acknowledg before me
this day of u 20 by
Michael Hsissenberg
(Name of person acknowledging)
_�A
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
T or QQ Brien
NK PUBLIC
STATE OF FLORIDA
Expires 2/17/2024
REVIEWS I CO NTER I ROEVIEW I S REVIEWUPERVISOR I PLANS REVIEW I VREVIEWON I S REV EWLE I M E EWVE
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