HomeMy WebLinkAboutBuilding permitl applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U)UNTY
n
M
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: 791 Sandburg Ln
Property Tax ID #: 3415-705-0103-000-9
Site Plan Name:
Project Name: Paul
DETAILED DESCRIPTION OF WORK:
Install 1 clear panel & 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: $ 2,286.00 Utilities: _ Sewer _ Septic
OWNER/LESSEE:
Name Helen Paul
Address: 791 Sandburg Ln
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-489-4863
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
f value of ronctrurtinn is 0,79;nn
CONTRACTOR:
Name: Michael Heissenberg
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
Company; Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port St. Lucie
Zip Code: 34984 Fax:
Phone No 772-871-1915
E-Mail Permits@expertshutters. corn
State or County License 16572
-- . - - - - -. - ---•.•••.--- n .,l �vnnnCnl.efnenC is requlrea.
If value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
State: FL
............
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: __ Not Applicable
Name: TiItew.Inc
Address: 6956 NW 36th St Suite. 305
City: VirginiraGkmlens
Zip: 33166 Phone_
FEE SIMPLE TITLE HOLDER
Narne:
Address:
City:..
Zip: _-_ — Phone: -
State: FL
_*__ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
,._ Not Applicable
State:
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 priorto 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 F•lome 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 ORNEY EFORE RECORDING YOUR NOTICE OF CO NC MENT
d
Signature of Owner/ Lessee/Contractor as Agent f r Owner° Signature of Cori tractor/Lice nse Holder 1
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � t. liC'4C' _ _ __. COUNTY OF S°} L cif'('..
The forgoing instrument was acknowledgeAbefore me
this _ jday of _ 1 ►I,lf�{� ZO by
HJ�
Name of person making statement.
Personally Known I/ _ OR Produced Identification
Type of Identification
Produced
1
(Signature of Notary Public- State of a UE3LtC
Q NOTARY f'
Commission No. rb_fi Q S §TATF=OF FLi3R 8
__ GG25r30
�. Comm#
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The forgoing instrument was acknowledged before me
this .._L day of , 20J6 by
�!l uy)-e1 �l
Name of person making statement.
Personally Known s//— Off Produced Identification
Type of Identification
Produced
_ aye 6 1�w�q,
(Signature of Notary Public- State o&Comm#
hanon O Shea
Commission No .(�,��TATE OF FLOI
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE w_.. _..._ .
COMPLETED I