HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Ala
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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
PERMIT TYPE: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 8008 EDEN RD
Property Tax ID #: 1301-604-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name: McBride
DETAILED DESCRIPTION OF WORK:
Install 12 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 _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3,770.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Deborah C McBride (LF EST)
Name: Michael Heissenberg
Address: 4310 Seminole RD
Company: Expert Shutter Services
City: Fort Pierce
State: FL
Address: 668 SW Whitmore Dr
_
Zip Code: 34951 Fax:
Phone No. 772-216-6135
City: Port St. Lucie FL
State:
Zip Code: 34984 Fax:
Phone No 772-871-1915
E Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail permits@expertshutters.com
from the Owner listed above)
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: Tiltea>, Inc
Address:
6355 NW 36U) SI 5uiie. 'M
City. Vwgin„a Gardens State: FL
Zip:33166 Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Zip:. Phone:___
MORTGAGE COMPANY
Name:
Address:
City: __ -- -
Zip: _ Phone
Not Applicable
State:
} Not Applicable I BONDING COMPANY: —Not Applicable
Name:_
Address:
City:_
Zip: _
Phone:
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 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
"WARNINC 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 ORNEY EFORE RECORDING YOUR NOTICE OF COMMENC-6MENTr
Signature of Owner/ Lessee/Contractor as Agent
Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF - b�-.
The forgoing instrument was acknowledgeA before me
this —L.- day of . 20_A by
_ ►c��a.e l �-I��csPin ��
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of a
pp ttoTA►�Y PUBL{C
Commission No. - 0 S gIATE.OF FLORID'
GG258038
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF ,�-t
The forgoing instrument was acknowledged before me
this __.1___ day of 20-A by
C . Il i SSQf,�
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
a, 610,ZA,_
(Signature of Notary Public- State of Fior' Shanon O'Shea
NOTARY PURL{
Commission No e "ATE OF FLOI
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SUPERVISOR I PLANS VEGETATION I SEA TURTLE I MANGROVE
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McBride Residence 16
8008 Eden Road
Fort Pierce
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