HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number :
0
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F L - . .O: r R I
Cc UN
Bud ding Perml t Ap plication
Planning and Development Services
Building and Code Regulati on Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462 - 1578 Commercial Residential X
PERMIT TYPE . Sh utt er
ROPOSED � MPROVEMENT LOCATION � , - � ._ gip,- ; ;
Add ress : 3117 Yellowstone Cir
Property Tax ID # s 23266000121 -000 -3 Lot No . .
Site Plan Name : Block No .
Project Name : Ward
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DETAILED. DESCRI -PTI' rR
C} N fl � W (3RK:
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Install 8 accordion shutters
CONSTR-UCTIO N INFt� �tM.A � lO � � . � .;�
Additional work to be performed under this permit — check all that apply :
_M ec h a nica l _ Gas Tank _ Gas Piping X Shutters Windows/ Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq . Ft of Construction ,* Sq . Ft . of First Floors.
Cost of Construction : $ 31081 . 00 U t i l it ies : _ Sewer _ Septic Building Height :
OWNER- ESS'E E CC)NTR�CTQR .
Name Christian Ward Name : Michael Fleissenberg
Address : 3117 Yellowstone Cir Company : Expert Shutter Services
City : Fort Pierce State : F L Address : 668 SW Whitmore Dr
Zip Code : 34945 F a x : City : Port St . Lucie State : FL
Phone No . 954- 830-0792 Zip Code : 34984 Fax :
E - Mail : Phone No 772-.871 - 1915
Fill in fee simple Title Holder on next page ( if different E - Mail permits@expertshufters . com
from the Owner listed above ) State or County License . 6572
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 .
71
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L CON 5 �' U �`�f � � �.� 11tf l ���31� MAT � �i F . { � :,
DESIGNER/ E 'NGINEER : � No t A' pplicable MORTGAGE COMPANY : a . _ Not Applicable
N a me : r����, ��; Name . i
Add re 55 : ss5e r�w :�m sI sv� �5 Address : _ -
�ltiY : --------------- --------------------------------------------
Wr�srus Garderrs State :, City � _,._,...,. ... S t a'�e :
ZiP : :A:� ,�� Phone � ` Zi p : Phone ,. -
FEE SIMPLE TITLE HOLDER .: � Not Appll' cablc, B0"6' ND1NG COMPANY4 , „Nat Applicable
N a rn�y : N �� rn p :
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Address :,,._. ---- � .__ �.�__... Address : _
City : .--......._ ._____ . _.. ..._,_ �.__._..._. City :
zd ' Phone '.. Zip� : __...__._. _,.�..� _.�..._._....._�..._.._. .......... Phone :
OWNER/ CONTRACTOR AFFIDVIT '.' Application i.s hereby made. to obtain a permit to do the work and instaflation as indicated .
I cetrtify that iio woi- k or installation teas commenced prior to the issuance o-f a hermit.
St . LucieC' ounty makes no representation thatis grantin'' g a permit will authorize the permit holder to bu ild the subject structure
which isin con lict with any, applicablie i1omLl Owne, rs Ass' ociation r•uies , bylaws, or and covenants that may restrict or prohibit such
structurE, . Please consult with your Home Owne rs Association and review your deed for any rest' 'rictions whiich ma)( apply .
In consideration of the. granting ref LNIS requested permi' t, I clo hereby agree that I will, in all respects, perform the work
in accordance with the. approved plans, the Florida Building Codes and St. Lurie County Amendments .
Tile follow ing bu + iding permit applications Grp exempt froiii ti� nd +� rgc, ing �� lull concurrency review : room additions,
accessory structures, swimming pools, fences, walls, signs, screen ropnTs and accessory uses to + anther non -resider7tial use
"WARNING TO OWNER*. YOUR FAILURE TO RECORD A NOTiCE tom' COMMENCEMENT MAY RESUL T IN YOUR PAYING
TWICE Ft�R IMPROVEMENTS TO YOUR PROPER"1"'Y. A NOTICE OF COMMEAC. EMEN'�" MUST 13E RECORDED AND
POSTED ON THE JOB S E BEFORE TH FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINAN:CINCO CONSULT
ITH YOUR ORNEY _ E�ORE. RECORDING YOUR NOTICE OF COM itil� MEEIIIT ,
q -F,&MdMM� %�60�1 1 1 on Ix d ow.j j 4 . . ............. ---- ----
5i�nature of Owner/ Le. si� e.. e/Conti �artc� r as Agent f r• Own e i� � Signature of Contractor/License Holder'
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O� ``i�- . tx _ �'� COUNTY OF . '-3_•
� The. forgoinginstrument was acknowledgeCl be' fo' rc-,, me ih e forgoing instrument vrras ackncawiedged b�fiore me
' this 3 day of March ___ _� .�_._.._.. ._... , 2021 by ttiCs 3 . .. day of archA 2t�,� by
Michael Heissenber--------- q Michael Heissenberg
----------- -MIMN
Name of person making st., tement. Name of person making; statement .
Personally Known .. .__ 012 Piooduced Identifr, cation Personally Known �/ , t7R Produced Idtntifi�afion
Type of W eniif i cation �"ype of I denti ficaticars
Produced Prodptice: d
--------- vdd#� 4 j 0 4 1 1 1 1 1 N I I P FMF*dd&%&&W --------------------- dwe"dwAhp P pp
-Aw Nor-
(Signature of Notary Public- State ofrWa PU��,4C ( Signature rat Notary Public- State cif Flor' Shanon t�'Shea
GG258038 -� fk"TE 0� p NOTARY PUBLIci
Commission No . GG258038 �Commis + o � � N (� . _ _ _ _-...-- ,�. � rye} C,�G'� 5eG36 _ 'CA'I"� OF FLOR�D
INX �_ _�x . �r�s 91 12 i2 0� �' , Comm# GG2580 8
if P1 T U5
REVILWS I FRONT- ZONING � SUPLRVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW I li' EVI EW REVIL-4W R EV I EW kEV1EW REVIEW
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DATE
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