HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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
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PERMIT TYPE:Shutter
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Address: 170 SE El Sito Court
Property Tax ID#: 3419-540-0324-000-1 Lot No,
Site Plan Name: Brooks Block No. 53
Project Name: Brooks
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Installation of 6 Bahama Shutters and 2 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 Sp. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3673.00 Utilities: _Sewer _Septic Building Height:
IName_Selena!Brooks Name:Michael HelssenbeM
! Address: 170 SE El Sito Court Company:Expert Shutter Services
City: Fort Saint Lucie State: FL Address:668 SW Whitmore Dr
Zip Code: 34983 Fax: I City: Port St. Lucie State:FL
Phone No.561-5$5-6003 _ 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�,7a 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.
City:DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY* Not Applicable
Name: niteww1r. Name:
Address-.6W355 Nw 3ft1h st suite 305 Address:
VirpruaG attlens; State: FL. City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER- x Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: City.
Zip: Phone: Zip: Phone-.
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 ancovenants 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 inWnd to obtain financing,consult with lender or an attorney before
commencing workpr'Ffto(,&*. g VoW Notice of Commencement
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Signature of Owner/Lessee/Contractor asXent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S r COUNTY OF19t,L.o.
The f Ing instrument was acknow edgel before me The forgoing instrument was acknowledged before me
this �day of 20 1_' by this—day of 20 _by
Michael HeMenb&q Michael Heissenborg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
Personally known x OR Produced Identification Personally Known x —OR Produced identification
Type of IdentificationPr�4ucecl--- Type of identification Produced
Commission No.t CVIS W� (Shoot O'Brien Commission No
1jJ NOTARY PUBLIC O'Brien
NOTARY
PUBLIC
Revised 07/15/2014 Cornm#GGM"9 GG9,m999
F-xpires 211712024 Expires 2/1 712o24
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS