HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Vim—0-1�- Z M\
( Permit Number: �`1�
RECEIVED
OCT ®1 2021
Building Permit Application b MM Permitting Department
Planning and Development Services St. Lucie county
j 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
PROPC?SED1Nt1 �211111l1 ,.3LfJT10N _0� `, tROWAN
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Address: 201 River Walk 1
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Legal Description: RIVERWALK AT SANDS UNIT 1
Property Tax ID#: 1425-566-0001-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Tierney
Setbacks Front Back: X" Right Side: X Left Side:
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In, 2 roll shutters &4 accordion shutters
Add
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work to be performed un er t is permit—cneCk all apply:
E1HVAC Gas Tank ❑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:$ 8,705:00 Utilities: _Sewer Septic Building Height:
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IN
Name David Tierney Name: Michael Heissenberg
Aiddress:201 River WALK Unit 1 Company: Expert Shutter Services
City: Hutchinson Island State:FLAddress: 668 SW Whitmore Dr
Zip Code: 34949 Fax: City: Port Saint Lucie State:FL
Phone No.407-701-3999 Zip Code: 34984 Fax: 772-871-0990 g
E-Mail: Phone No. 772-871-1915 i!
Fill in fee simple Title Holder on next page(if different E-Mail: Callexpert@aol.com
v 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.
SLIP EEMENT� CONS Fif�CT1C}( Ll 1 IN E?R1%AT1C U
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecolnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
;Zip: 33166 Phone: Zip: Phone:
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''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. I
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.
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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 inspectio_ If you intend to obtain financing, consult with lender or an attorney before
commencing work r recora 'n our Not' a of Commencement. -
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or
Signature of Owner/Less Contractor as Ag'nt for ner Signature of Contractor/License Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
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The fpMoing instru t as acknowledgeApefore me The forgoing instrument was acknowledged before me
thispLIdayof 20dLby thiso-day of 20 by
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Michael Heissenberg Michael Heissenberg
(Name of person acknowledging) (Name of person.acknowledging)
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(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
�otNRYgss anon hea (/ V- 15
Shanon O'She
Commission No. �Ja ��NOTARY P �ymission No. �O Q ,NOTARY PUBL
STATE OF LORIDA a
0 0 0STATE OF FLO DA
Comm#G 58038
S�HCE 19�� Expires 9/12/2022 s�NCE 19►� Expires 9/12/2 2
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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