HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INF0 MUST RE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
r
Planning and Devefopment Services
i9v4ding and Code RegWntforr Division
2300 Virginia Averine, Fort Pierce FL-349a2
Phone: (772} 4-62-1553 Fix: (772) 462-1573
PERMIT 7
i F P
Address= 1864 Wildcat Cove Dr.
Property Tax ID #: 1425-60-0032-0DD-5
Site Plana Name:
Project Name; Medina
DETAILED DES RIP71ON OF WORK:
Install 18 accordion shaattars
C NS7R1JCTl0N INFORMATION.
Permit Number:
Building Permit Application
Commercial Residential
Eat No_
Block No,
Additional work to be performed under this permit— check alJ that apply;
,Mechanical _ Gas Tank —Gas Piping }C Shutters _ Windows/ Doors
Electric _ Plumbing _ Sprinklers = Generator � Roof Pitcb
Total Sq_ Ft of Construc;tinn:
Cost of Construction: 8,001.00
Sq. Ft. of Fir" Floor;
Utilities; —Sewer _ 5eptie Building Height=
I4 CONTRACTOR:
Name William & Susann Medina Name: Michael Heisenberg
Address: 1864 Wildcat Cove Dr. Company: Expert Shutter Services
City: Hutchinson Island State: Address: 6458 SW Whitmore Dr
Zip Code: 34949 Fax: City. Port St. Lucie State: FL
Phone No. 61 61-6879 Zip Cade: 349M Fax: _
E-Mail: Phone No 772-871-1915
FIIt in fee simpte Title Holder on next page (if different E-Mail Permits( expertshatters_com
from the iDvroer listed above) State or County License 16572
0 value of Construction is $25DD or more, a RECORDED Notice of Commencement is requ;red
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
DESIGN
Narne; T09-,
Address: &ass ?jw man st, *30�5
CIfy; Virginia arder-s
Not
State; `L
Zip: aa, s Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name- _
Address;
City:
Zip: _ Phone:
MORTGAGE COMPANY: * Not AppiIca ble
Name: _
Address:
city..
Zip;
Phooe:
BONDING COMPANY:
Name,
Address:
city'
Zip: Phone;
State'
* Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
i certify that A work or installation has commenced prior to the iS$Ltance of a permit -
St, Lucie County rnakes no rep resentation that is grant' a Permit wild authorize the permit holder to build the subject structure
which cortg[cts with an appf4cable Homeowners A,ssoe]aljon rules, boaws or and covenants that may restrict or prohibit surh
structure. Please con5u t with your Homeowaners Assod.�ion anti review your deed for any restrictions which may apply.
In consideration of the granting of this requested perrn it, I da hereby agree that I will, in all respects, perf-0rm the work
In accordance with the approved plans, the Florida $r ddic ng Codes and St- Lucie County Amendrnents-
The fallowing building permit applicaxioos are exempt from undergoing a full con currency review: roonn additions,
accessory structures, Swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
A R N I NG TO OWNER: Year failure to Record a Notice of Commencernent 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 this jobsite before the first inspection. If you intend to obtain finaricing, consult
with lender or an attorney before commencing work Qr recording your- Notice of Ccmrnencement.
s
i Sign tore of Chmnerl Lessee{Contra at Agent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to (or off ir ed)and subscribed before me of Physical Presence or Online Notarizatian
this + day of 2oIL by
h cMfti maj:ssenterg
Name of person making statement,
Person ally Xnown x OR Prod uced Id e Otif i c4ion
Type of Identification Produced
(Signature of Notary Public- State
daj
Commission No, GGzseoaa (Seal)
REVIEWS FRONT ZONING
_ COUNTER REVIEW
DATF
RECEIVED
DATE
COMPLETED
thRV Sltanon O'Shea
NOTARY PUBLIC
STATE OF FLOREDA
Co>'ttm# GG25&�3�
Expires 9112W22
SUPERVISOR PLANS I VEGETATION SEA TURTLE I MANGROVE
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