HomeMy WebLinkAboutBuilding permit application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 3 1 Permit Number:
s „ a RECE__I`.'7_D JAN 13 2917
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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 X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATfCN
Address: 4400 N Al 6N
Legal Description: PARAGON UNIT 6N
Property Tax ID#: 1423-610-0008-000-1 Lot No.
Site Plan Name: Alan Brenner Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF�IORK M.'`
Install 1 Accordion Shutter
CONSTRUCTION INFGRMATICiN x
Additional work to e e orme un er t is permit—check a apply:
1]HVAC
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Ei Gas Tank Gas Piping �_Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3065.00 Utilities:Sewer E Septic Building Height: 110' 1
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01NNERJLESS E Y CONTRACTO
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Name Alan Brenner Name: Michael Heissenberg
Address:4400 N Ala Apt 501 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.313-600-0102 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder onnext page(if different E-Mail: callexpert@aol.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.
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SUPPLEMENTAL CQNSTRUCWWI,IEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: walterTillit Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 3316E Phone: 305-B71.1530 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 to obtain financing, consult with lender or an attorney before
commencing work re o our 06tice of Commencement.
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_Signature of Owner/Lessee/Agent V Signature of Contra for/Lice se Holder
STATE OF FLORIDA l / STATE OF FLORIDA
COUNTY OF �)�" ( ��,{ C►� COUNTY OF ��, L-Lf C��
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The orgoing instrument was ackf owledged before me The for�,o.ing instrument was acknowledged before me
ti :S'day of �A Vl J(�l 20�7 by this Rn�lay of�T6L R V aA/ .20 t 7 by
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Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P lic-State of to i ) (Signature of Notary Pu c-Stat orida)
Personally Known OR Produced Identification Personally Known fOR Produced Identification
Type of Identification Produced Type of Identification Produced
c / ors HEATHER VIZ7-,O )J
Commission NT ��eal), Commission N 1 /l0� �51'�t�Se�IA'HE� VEs�O
#OTARY PUBLIC
h ' Ri• ,^ NOTARY PUBLI6
cf 3T/'fE OF FLORID STATE OF F
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Revised 07/15/2014 �%%'a E i�" Expires 1 i/13/2018 �;,� '
Expires 1•I/13/2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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