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: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 9612 Enclave Cir
Property Tax ID #. 3322-800-0007-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Bennington
DETAILED DESCRIPTION OF WORK:
Install 3 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: $ 7,293.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Grace & Richard Bennington
Name: Michael Heissenberg
Address: 9612 Enclave Cir
Company: Expert Shutter Services
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-812-0982
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is S7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN
LNUINEER: .__ Not Applicablt t
Name: Tifteco. Inc
Address: r3355 Nw 36th st suite 3o5
City-. virgintaGarctens State: FL
zip: 311(i6 . Phone
MORTGAGE COMPANY: Not Applicable
Narne:
Addre
SS:
City: State*
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name.,
Address: Address:
City:----.- City.,
Zip: Phone:----,-- 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 liome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your I-lorne 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 THFIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR .I.LENOER�Olt A N T ORNEYPEFORE RECORDING YOUR NOTICE OF COMMEN"MFNTP
Signature of Owner/ Lessee/Contractor— as Agent �f
as
r Own'er nature of Contractor/License H
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF '
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 19 day of Jan. 2021 by this 19 day of, Jan.
20 21 by
Michael Heissenberg Michael Heissenberg
Name of person making statement. Name of person making statement.
Personally Known —I,(/ _ OR Produced identification
Type of Identification
Produced
(Signature of Notary Public- State of a pnentil—
ARY PtJoLlC
J
Commission No. _Q_Q2_5QP38 TA
of: f:L0Vkl0
5
01132 8036
Personally Known _Z_ OR Produced Identification
Type of Identification
Produced
--
al A AA Ck4 A t 0, P 6,_
(Signature of Notary 'Public— State Sharion O'Shea
Commissione
No. GG258038 NOTARY PUBLI
-F
ATE OF FLO]
Comm# GG258(
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE ------- REVIEW REVIEW
RECEIVED
DATE
COMPLETED