HomeMy WebLinkAboutApplicationAll 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
Address: 5824 Travelers Way
Property Tax ID #: 3410-503-0126-000-1
Site Plan Name:
Project Name: Nelson
DETAILED DESCRIPTION OF WORK:
Install 8 accordion shutters
Lot No,_
Block No.
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:
Cost of Construction: $ 7,315.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
OWNER/LESSEE:
Name Debra & Larry Nelson
Address: 5824 Travelers Way
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.954-234-6750
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael Heissenberg
Building Height:
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
Citv: Port St. Lucie
Zip Code: 34984 Fax:
Phone No 772-871-1915
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 $7,500 or more, a RECORDED Notice of Commencement is required.
State: FL
DESIGNER/ENGINEER: Not Applicable I MORTGAGE COMPANY: X Not Applicable
Name: Tilteco Inc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State: FL
X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 or recording vour Notice of Commencement.
s
Signature of Owner/Lessee/Contra c as Agent for Owner 5ignature of Cont actor/License Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The fpxgoing instr t s acknowledged before me
this 1 day of 20 -,by
Michael Heissenb&g
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
The forgoing insnrc!V),
ts acknowledged before me
this XLday of20 —D by
Michael Heissenberg
(Name of person acknowledging )
�k
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
GG958999Taylor O'Brien GG95899s
Commission No. A��'!yRO'�OTARYPLB LCommission No. (Seal) t STATE OF FLORID qss Tayf°r O'Brien
oQ. °n NOTARYPU
o ''- . oATE OF FLORIDA
Revised 07/15/2014 �S�NCE �e�� Expires 211712024 s� Comm# GGg58ggg
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Expires 211711m, .
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS