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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �j I 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 X Residential PERMIT APPLICATION FOR: Shutter 0PROPC?'' IMi+ROvtM I, L b Address: 3120 N HIGHWAY A1A 902 Legal Description: TIARA TOWERS UNIT 902-S Property Tax ID#: 1425-610-0113-000-6 Lot No.Site Plan Name: Block No. Project Name: Fairclough _ Setbacks Front Back: X Right Side: Left Side: DETAILED"DE��R1P tON Of W{�RK� Install 1 accordion shutter q n,C G}NSTRUaCTn . F� N © QN 4 Y � p x �. ., tea, .< „ ...., Additional work to be nerrormed under t ispermit—check a apply: E1HVAC 0 Gas Tank Q Gas Piping Shutters Windows/Doors ❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 4,551.00 Utilities:Sewer Septic Building Height: OINNERRLESSEE; p @#@gSb ktary Z 9 fsOC1NTRA"G -0R � �w .. ��� x--� 'Name Julia Fairclough(TR) Name: Michael Heissenberg Address:3120 N A1A Unit 902 Company: Expert Shutter Services City: Fort Pierce State:FL Address: 668 SW Whitmore Dr i Zip Code: 34949 Fax: City: Port Saint Lucie State:FL Phone No.845-304-9200 Zip Code: 34984 Fax: 772-871-0990 E-Mail: Phone No. 772-871-1915 Fill in fee simple Title Holder on next page(if different E-Mail: Callexpert@aol.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. S PLE�11EN1A�L Ct�N; 1��tUCTION�LI��� V!f INI�U�MAT1t�3N DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Tiltecolno. Name: Address:sass Nw 3stn sc suite 3os Address: City: Virginia Gardens 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 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 our Notice of Commencement. s Signature of Owner/Lessee/Contrac96 s Agent for Owner Signature of Contractor/License der STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF St.Lucie The as f,o�C�oing instrum nt acknowledge before me The forgoing instrument was acknowledged before me this I day of 20by this—a day of 201L by Michael Heissen4g Michael Heissenberg (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 Identification Produced Type of Identification Produced Commission No.�)5MY (Seg&non.0'Shea Commission No (Seal) pRYAsso� NOTARY PUBLIC IDA Revised 07/15/2014 a Comm#GG258038 oQ ram,NOTARY PUBLIC; STATE OF FLORIDA SINCE Ml Expires 9112I2022 W n 1 ONCE 19�� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE xp rMA9�G2fi&A COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMP LETE INITIALS