HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
AUNTY
1 n R l r
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
PERMIT TYPE: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 9017 Pumpkin Ridge Rd
Property Tax ID #: 3322-505-0173-000-1
Commercial Residential X
Lot No.
Site Plan Name: Block No.
Project Name: Huie
DETAILED DESCRIPTION OF WORK:
Install 7 accordion shutters
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping X Shutters _ Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing _ Sprinklers
Cost of Construction: $ 6,599.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Carl & Ellen Huie
Name: Michael Heissenberg
Address: 9017 Pumpkin Ridge Rd
Company: Expert Shutter Services
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 240-432-4252
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name: Tllleco.lnc
-
Address: 6355 NW 36ih Sl Sude 305
City: Virginia Garaens
Zip: 331e Phone_
State: Ft
FEE SIMPLE TITLE HOLDER: * Not Applicable
Name:
Address:
City:
Zip: �_
Phone:
MORTGAGE COMPANY: Not Applicable
Narne:
Address: ----
City: _ _ State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
—Not Applicable
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 snakes 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 AIJORNEY.46EFORE RECORDING YOUR NOTICE OF COMMENCE,6MENTP
Signature of Owner/ Lessee/Contractor as Agent f r Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF "�, U(-'y '.. __. COUNTY OF Ltj l
The forgoing instrument was acknowledge before me
this _i.._. day of L�Q 20 c� by
J
K'6w I �,'Up)
Name of person making, statement.
Personally Known _41,OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public State of a UBLIC
p NOTARY P
Commission No. � ]0((�� 5 fpYEOP fWRID
The forgoing instrume t was acknowledged before me
this ,..J.__ day ot._..._.__14. 20% by
Kcw P) e1_1 ilovc
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
3A&��Ov, n llazA_
(Signature of Notary Public- State of Flor' ) Shennn t)'Shet3
� ,, " t NOTARY PUBi_i
Commission NoX� 's a rr e TATE OF Plti'
` �' Comm# GC;258t
REVIEWS I COUONT I ZONING NTER REVIEW I SUPERVISOR REVIEWREVI W PLANS I VEGETATION
1SEA
REVIEWTURTLE
DATE
RECEIVED
DATE
COMPLETED
MANGROVE
REVIEW