HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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L - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION;
Address: 8024 Links Way
Property Tax ID #: 3327-707-0044-000-3
Lot No.
Site Plan Name: Block No. `4
Project Name: _Rossy
DETAILED DESCRIPTION OF WORK:
Install 2 accordion shutters
New Electrical Meter Second Electrical Meter (Affidavit required)
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..CONSTRUCTION INFORMATION;
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping X Shutters — Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 663.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name William & Mary Rossy
Name: Michael Heissenberg
Address:47 Otter Creek Rd.
Company: Expert Shutter Services
city: Skillman State: NJ
Address: 668 SW Whitmore Drive
Zip Code: 08558 Fax:
city: Port Saint Lucie State: FL
Phone No. 732-558-2191 E-
Zip Code: 34984 Fax:
Phone No772-871-1915
Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail permits@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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DES
Name: Tilteco, Inc.
Address: 6355 NW 36th St. #305
City: Virginia Gardens
Zip: 33166 Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
State: FL
* Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
* Not Applicable
State:
BONDING COMPANY: * Not Applicable
Name:
Address:
City:
Zip: Phone:
UWNLK/ CUN MACTUR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation 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 permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or rprnrriinu vni it Nnrira nf r.,., mpr%ro., +
Signature of Owner/ Lessee/Contractor Agent for Owner
STATE OF FLORIDA
COUNTY OF I `A()',e,
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this day of 06-. 20dl by
_C&
_M►C_�\ap1 A4 Ptn.�P�c
Name of person making statement.
Personally Known X— OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
twy Shanon O'Shea
Commission No. (Seal) NOTARY PUBLIC
o STATE OF FLORIDA
y Comm# GG258038
Expires 9/12/2022
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