HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 8E ACCEPTED
Date:
Joey
COUNTY A�
Panning and tevelopment Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1.578
PERMIT TYPE: Shutter
€'PROPOi EDIMPROVEMENTLOCATIONi
Address= 6040 WhipoorwiII Ln.
Property Tax ID #. 3211-911-0017-000-9
Site Plan Nance:
Project Name. SouthMck
DETAILE 'DE kMPTIC)N OF WORK:
Install " Da.-e s-lut=e.,
Permit Number:
Building Permit Application
Commercial Residential
Lot No, 2
Block No. C
Additional work to be performed under this permit — check all that apply_
_Mechanical _Gas Tank _Gas Piping X Shutters WindowslDoors
Electric _ Plumbing _ Sprinklers ` Generator _ Roof Pitch
Total 5q. Ft of Construction:
Cost of Construction: 536.00
OWNER/LESSEE,
Name Nelson Southwick Jr
Address: &MO Whipoorwill Lam,
City; Port St Lucie State -
Zip Code= 4987 Fax:
Phone No, 772-216.0597
E-Mail;
Sq- Ft- of First Floor.
Utilities, _ Sewer _ Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
frorn the Owner listed aboveI
NT ACTOR'
Marne: Mu chael Heissenberg
Company: Expert Shutter Services
Address; 668 G1V Whitmore Of
City. Port 8t. Lucie State: FL
Zip Code: 34994 Fax:
Prone No 772-871-1915
E-Mail permits expeftshutters-com
State or County License 16572
if value of construction is 2500 or more, a RECORDED Notice of Commencement Is required.
Ef value of HVAC is $7,500 cr more, a RECORDED Notire of Commencement is required.
DEESIGNER ENGINEER: , Not
Nance- TffbK*-Inc.
Address: 1,355 NW 361h St #305
City- Viryinb Gar+fens
Zip:33156 Phone
FEE 51MPLE TITLE HOLDER:
Name,
Address:._ _
City;
Zip. _. _ Phone, _
State: FL
- Not Applicable
MORTGAGE COMPANY- * Not AppllcahlO
Nanla: _
Address;
City:
Zip.
Phone:
State:
BONDING COMPANY; r Not Applicable
_ Name'.
Address,
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a perm ittado the work and installation as Indicated,
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes rao representatlon that i5 grantin a penult w]II authorize tk�e permit holster to build the subject structure
which confli� with an applicable Homeowners AssociaRion 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 prans, the Florida Building Codes and St_ Lucie County Amen4ments.
The following building permit applications are exempt from undergoing a full concurrency review- room additions,
accessory structures, swimming gooks, fences, wallsr signs, screens roorns anti accessory uses t0 another non-residential use
WARNING TO OWNER: Your failure to Record a Malice 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 CGUnty 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 Corr mencement.
Signature of Qwnerj Lessee/Contra Agent fo-0wner
STATE OF FLORIDA
COUNTY OF St ter`
Sworn to;or affix d and subscribed before me of x
Physical Presenoe or Online Notarization
this Rk day of 200 by
Mch" Ha�smnberjg
Name of person making statement,
Personally Known x DR Produced Identification
Type of Identification Produced_
{Signature of notary Public- State of Floridal
hRy t Sharron O'Shea
Commission No_ CG256*m (Seal)
NOTARY PUBLIC
STATE OF FLORIDA
+
Ccmn* G0258039
i
f rs Expires �111212022
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