HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number :
'N .:Y-
F -1- :
Building Permit Appl icat ion
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462 *ftl553 Faxm: (772 ) 462 - 1578 Commercial Residential X
PERMIT TYPE : Shutter
. .PROPOSED I M PROVEM ENT LOCATION ........ ke
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Address : 5825 Sunberry Cir .
Property Tax ID # 14 1312 -501 - 017 -000- 2 Lot No .
Site Plan Names. Block No ,.
Project Name : Gedeon
DETt�ILED C� - , O'N 0' '1N
Install 10 accordi on shutters
.. .. ... ....
CON-STRUCTI 'ON INFORMATION :
Additional work to be performed under this permit — check all that apply .
_Mechanical _ Gas Tank _ Gas Piping X Shutters Windows/ Doors
_ Electric _ P l u m bin g _ S p ri n klers _ Generator � Roof Pitch
Total Sq . Ft of Construction : Sq . Ft . of First Floor ,:
Cost of Construction : $ 51654 . 00 Utilities : _ Sewer _ S e p t i c Building Height :
. ........ .
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OWNE' . ' ESSE E CONTR
........................
Name Franck & Margarette Gedeon Name : Michael Heisenberg
Address : 5825 Sunberry Cir Company : Expert Shutter Services
City : Fort Pierce States, FL Address : 668 SW Whitmore Dr
Zip Code : 34951 Fa x : City : Port St . Lucie State : . FL
Phone No . 631 -645- 7660 Zip Code : 34984 Fax :
E - Mail . Phone No 772- 871 - 1915
Fill 'l' n 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 .
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DESIGN ER/ EiVGI N E' r� R ; .._ Not Applitcible I MORTGAGE COMPANY : �.._. Nc� t Applicable.
Nd 1T1 � : 7tilsi�x�. Inc � � I`Tl£'. ;
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SEE SIMPLE TITLE HOLDER .. �� Not Applica- ble BONDING COMPANY : Not Applicabie
Name :
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City : City :
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OWNER/ CONTRACTOR AFFIDVIT ',#. Application is hereby madeto obtain a perm it to do the work and installation asindicated -
0i cerkify that na work or instal l at ioi+ has comrr� <� rEr, ed prior to lt�e ss ueInce cif a perm i t.
St . Lucie COUnty makes no represeritation that ; s gran-ting a permit w ( il authorize the permit holder to build the subject structure
which is in conflict with any applicable home Owners Association Rde,. s, bylaws or and Covenants that may restrict or' p'- rohibit stich
st. ructur�+ . Piease consuii w, tlr your Home,,� Owners As50C*13 tion end review your reed for any restrictions which may apply .
11-1 consideration of the granting of this requested permit, I do hereby agree that I will , in all respects, perform the work
in accordCance with the ap �� r•oved plans , the Florida Bu'flding Codes anti St.. Lucie County AmE� ndnients .
The foilowing building permit applications are' exempt fron-i und� r�;n ing a full concurrency review : roc� rn additions,
aCLeSSOf"y structures, swimming jx)ols, fences, walls, signs, screen rooms and accessniy uses to another, non-residential use
"'WARNING TO OWNER : YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR SAYING
TWICE FOR IMPROVEMENI& S TO YOUR PR0P1F,.PTY,* A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JUG SITE BEFORE TH FiR!57" INSPECTIOko IF YOU INTEND TO OBTAIN FINANCING , CONSULT
--------
WITH YOUR LIENIDER A GRNEY EFORE RECORDINC YOUR NOTiCE OFACOM E NT
el P
.._..._..._.._..__ ._ � ert f� t�wner JamSi�; naturo of C) wilt. r / Lessee/ Cor�tractor as � � `� t� a t u rp crf Contractor/ Licer) se Hold (-,�. r !,
STA11 OF FLORIDA STATE .OF FLUKIbR
COUNTY OFJAV
_ :rr l._ i.xG'��? COUNTY O F �;-� � 1 C' Ct�,� _-----
�rr� f" for ,)oing instrument w.�s acknowlr:eig d beior'c rt�+ E The torgoi r�d instrumre�,nt was acknowledge,� before me '
thi s, 1 �... cla y ci f �.i�. ._ . _. ___� .... .. 2L�1� by this <Aday c�fi �_, ;1� ✓� • . Z0� by
Michael Heissenberg Michael Heissenberg
Name of rersor� rnakin �, statement . Name of person making statement ,
Personally Kj-iown ......�_......_. OR Produced Id �rttifitatib +� _.� ....... . Personally Known � OR Produced Id � ntificaiion�t'Ype oi i ;lentificatian ?ype of 1de +titifir �� tion _.�..._._.
Produced Prod uced
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( Signature, of Nottary Pub i c- Stag o f - d � Ut3�.tG � ( Signature o ' Notary Public- State of F Ior . � ) Shonon O'Sh�a
� t4OTARY
Commission No , S � CJ� F to�80 OF FLOR D
yr "G26 � � Conimission N --- � � �lo NOTARY PUBLI
,y rvy . lvn. � res 21202� Corn" GG258038
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REVIEWS F RLaN T ZO N ING sup
ERViSnR r I P� NS � VEGETATION S k i i tj R"10* L C: MANGROVE
COUNTER REVIEW REVIEW ["t" L V 1C- �! REVIEW REVIEW REVIEW
AT F
RECEIVED �
DATE' _ .—.