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
23W Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 354 NETTLES BLVD
Property Tax ID N: 4502-501-0540-000-8
Site Plan Name:
Project Name: Chichester
DETAILED DESCRIPTION OF WORK:
Install 1 roll shutter
CONSTRUCTION INFORMATION: °-
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: $ 4,098.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Franklin Chichester
Name: Michael Heissenberg
Address:264 Argonne Dr
Company: Expert Shutter Services
City: Buffalo State: Ali
Zip Code: 14217 Fax:
Phone No. 917-657-8557
Address: 668 SW Whitmore Dr
City: Port St. Lucie State: FL
Zip Code: 34984 Fax:
Phone No 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Permits@expertshulters.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: rm-r �„�.
—
Name:
Address: 6355 NW 36t StSwle305
Address:
City: V,,OnW Gard n State: FL
City: State:
Zip:33166 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work installation
and 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 Cermit 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 toncurrency 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 JOB SITE BEFORE TH FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINAff ING, CONSULT
WITH YOUR LENDER I- ORNEY RE RECORDING YOUR NOTICE OF CO ME
Signature of Owner/ Lessee/Contractor as Agent f r Owner Signature of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _ i}, Ll cC 2 COUNTY OF J} .�
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
1
this day of Oct- 2021 by this 1 day of Oct. 20 21 by
Michael Heissenberu Michael Heissenberg
Name of person making statement. Name of person making statement.
Personally Known,/ OR Produced Identification Personally Known
OR Produced Identification
Type of Identification Type of Identification
Produced Produced
r1 nr (� h , /� (�
�J 1, N i -, f 6 W 4AA)a � 0 f b(5'
(Signature of Notary Public- State o a N(Signature of Notary Public -State of Flo ' Shanon O'Shea
Commission No. GG258038 S �Commission No. GG258038 a NOTARYPUBLI�� TATE OF FLORO
62Comm# GG2REVIEWS
FRONT
ZONING
R
PR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEWDATERECEIVED
DATE
COMPLETED