HomeMy WebLinkAboutBuilding permit 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 Residential X
PERMIT TYPE: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 5605 Spanish River RD
Property Tax ID #: 1312-503-0024-000-9
Site Plan Name:
Project Name: Fielder
DETAILED DESCRIPTION OF WORK:
Install 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: $ 2,496.00 Utilities: —Sewer —Septic
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Albert J Fielder Jr
Name: Michael Heissenberg
Address: 5605 Spanish River RD
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 813-431-7429
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
-- ---- -•--••-- . — ram• — .. 1, o r LU lwLI%.e vi wrnmencemeni 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: TifteaD Inc
Address: sass, Nw 3hti, sr Sure :say
City: Virginia Gardens State: R
Zip: 33166 Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:_
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City: —
Zip: _ Phone:
__.___ Not Applicable
State:
—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 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, ► 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 THIr-FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A-TTORNEY,BEFORE RECORDING YOUR NOTICE OF COMMENC-IiMENT/'
Signature of Owner/ Lessee/Contractor as Agent f r Owner _ Signature of Contractor/License Holder
STATE OF FLORIDA ( STATE OF FLORIDA
COUNTY OF bt. L_U5L� ! COUNTY OF SA I w u": -1 _
The forgoing instrument was acknowledge before me
this day of .. 20 by
,C ��� I ��cs�P✓� 1�aet.�
Name of person making statement.
Personally Known I_` OR Produced Identification ..
Type of Identification
Produced
I
(Signature of Notary Public- State of a Y pV�LtC
Qn P10TA11
Commission No. S §TATE. OF FLOR
Coma►# GG2580B
` c..^ires 91121202'
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
COMPLETED
The forgoing Instrument was acknowledged before me
this..-__ day of LA. 20A by
Name of person making statement.
Personalty Known - OR Produced Identification
Type of Identification
Produced. _
(Signature of Notary Public- State of Flor' ) Shanon O'Shea
t, NOTARY PUBt_t
Commission Noz &3, _ e TATE OF FLOI
�" ?k Comm# GG258t
SIPERVISREVIEWOR I RE EW V REVIEEGETATIW I S REV EIWLE I MANGRO
REVIEWVE