HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
TWO-
Va �'t�
I
COUNTY
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
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Address: 5612 Sun Pointe Dr
Property Tax ID#: 1312-501-0058-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Zemola
FDETAI LED DESCRIPTION OF WORK:
Install 1 crank roll &8 accordion shutters
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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: $ 6,377.00 Utilities: —Sewer —Septic Building Height:
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Name Albert G Zemola(LF EST) Name: Michael Heissenberg
Address:5612 Sun Pointe Dr Company:Expert Shutter Services
City: Fort Pierce State: FL Address:668 SW Whitmore Dr
Zip Code: 34951 Fax: City: Port St. Lucie State:FL
Phone No.772-466-3429 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@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.
' SUPPLEMENTAL CONSTRUCTION LIEN tAW INFORMATION:
-
._.._:.:.---- ._..__.
NER/ENGINEER. Not Applicable
Name _.-.MORTGAGE COMPANY: Not Applicable
Ott
Name:
Address:6355 NW 36th St suite BOB Address:_
City: Virginia Gardens State: FL City:_. _ State:
Zip: miiiii Phone _ 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 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 roams 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 TH .FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR° ORNEY EFORE RECORDING YOUR NOTICE OF COM MENT'>
Signature of Owner/Lessee/Contractor as Agent f r Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF....! COUNTY OF'C"
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 16 day of__March _ 2a 21 by this 16 day of March 20 21 by
Michael Heissenberg Michael Heissenberg
Name of person making statement, Name of person making statement.
Personally Known — OR produced Identification Personally Known Vj OR Produced Identification
Type of Identification Type of Identification
Produced,( Produced
(.Signature of Notary Public-State of _ a
tglovkRy pUBI-1 (Signature of Notary Public-State of Flor' Shanon O'Shea
Commission No. GG258038 S TATE OF FLC3IttT5 GG258038 (VOTARY PUBLIC
-- �W1M#GG258036 Commission No. e TATE OF FLOR D
irgs g112120 _ Comm#GG2580 8
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
_ COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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