HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE iNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
..L: L
Building Permit Application
Planning and Development Services
Building and Code Reguiation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 452-1S78 CBDC Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 714 NETTLES BLVD
Property Tax ID #: 4502-501-0900-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Ronda
DETAILED DESCRIPTION OF WORK:
Install 13 accordion shutters
New Electrical Meter Second Electrical Meter (Affidavit required)
FI CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check ali 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: $ 4.551.00 Utilities: —Sewer —Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name James A Ronda Marilyn L Ronda
Name: Michael Heissenberg
_
Address: 291 Winter Oak ❑r E
Company: Shutter Services
city: Holland State: MI
zip Code:49424 Fax:
Phone No. 616-848-8157 E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
-Expert
Address: 668 SW Whitmore Drive
city: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No772-871-1915
E-mail permits@expertshutters.com
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.
DESIGNER/ENGINEER:
Name: Tiltecoinc.
Ad d re S5: 6355 Nw 36lh St Suite 305
City: Virginia Gardens
zip: 33166 Phone:
Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:
Address:
State: FL
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name: _
Address:
City:
Zip:
Phone:
City: State:
Zip: Phone:
BONDING COMPANY: .Not Applicable
Name: _
Address:
City:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 your Notice of Commencement.
Signature of Owner/Lessee/Contra as Agent for Owner
STATE OF FLORIDA
COUNTY OF 51. Lucie
The forgoing instrument was acknowledged before me
this 2- day of %(-em\Qe4e . 20 2L by
Michael Heissenb6rg
[Na a of person acknowledging j
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced ea
� gsrer►raa� 5�.._
Commission No. GG258038 NOTARY PUBLIC
e -+STATE OF FLOR
r Comm# GG2580:
Revised 07/ 15/2014
REVIEWS FRONT I ZONING
COUNTER + REVIEW
DATE
COMPLETE
INITIALS
s
ignature of ontractor/License der
STATE OF FLORIDA
COUNTY OF st. Lucie
The forgoing instrument was acknowledged before me
this 2- day of 20 2.% by
Michael Heissernberg
(Name of person acknowledging }
(Signature of Notary Public- State of Florida j
Personally Known x OR Produced Identification
Type of Identification Produced
anon
Commission No. GG258036 VAEXPires
TARY PUBLIC
ATE OF FLORMk
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met# GG258038
9/1272727
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