HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO M1.11J.BE COMPECKUPOR APPLICATION TO BE ACCEPTED I (.
Date: OCT (' _ 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
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Address: 4400 N HIGHWAY A1A 7S
Legal Description: PARAGON UNIT 7S
Property Tax ID#: 1423-610-0011-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Even
Setbacks Front Back: X Right Side: Left Side:
..�.'„ ""M a €>,-sf �s y'S?Eq '�+. '� ' .s s ` '� '�` � �'�.., ..: .a- ". � k�. �I'l�,,,,�,���,',"-""-,:-"t,.; �',�,,
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Install 1 accordion shutter
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Additionalworkto e e orme un ert is permit—
check a apply:
11HVAC Gas Tank Gas Piping Shutters n Windows/Doors
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11 Electric 0 Plumbing Sprinklers Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4,091.00 Utilities:Cn Sewer[]Septic Building Height:
OWNER/LE5� 1rf , � j C(3NTRA ��
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Name Loras Even Name: Michael Heissenberg
Address:1196 Woodland DR Company: Expert Shutter Services
City: Dyersville State:IA Address: 668 SW Whitmore Dr,
'Zip Code: 52040 Fax: City: Port Saint Lucie State:FL
Phone No.319-493-1.566 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: Gallexpert@aol.com
from the Owner listed above) State or County License: 16572
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SlJpPIIENTGOtNS�R.UCTtNI Est L�1 Np ,. .. . � A .
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tilteco Inc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: I'L 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:
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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 wo cordji1g your tice of Commencement.
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Signature of Owner/Ye ee/ ontractor as Agge for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The f rgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20ON—by this a day of 20 qV by
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Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
toll, lsj ia&�
(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 shea Type of Identification Produced Shanon O'Shea
��gpRYgSs NOTARY PUBLIC a s°° NOTARY PUBLIC
Commission No. �(� a� y ommission No. o I-STATE OF FLORI
a _STATE OF FLOR =Comm#GG25803
Comm#GG2580 8 si 1�
'45VcE 191 Expires
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS --
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