HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number;
Building Permit Application
Planning and Development Services
60ding and Code Regwb ran Division
2300 Vifpirrea A ven ue, Fort Pierce FL 34.452
Phone: [772) 462-1553 Fax. (772) 462-157EI
Ccrnrnercial
CBDC Funding
PERMIT APPLICATION FOR: Hurricane Shuttefs
<PR0POSE D IM-PROVEMENT LO CATI0N:
Address; 1204 N 37th St
Property Tax ID #; 405-701-0056-000-8
Site Plan Name:
Project Name: Nobble
Install 11 accordion shutters
New Ftectrical Meter Second Eiectriral Meter
CONSTRUCTION I FORMATION-
Residential
IA fidavit required)
Lot No. 9 & 10
Black No. 40
Additiorial work to be performed under this permit — check all that apply;
_Mechanical _ Gas Tank _ Gas Piping X Shutters ` WlndowVDoors Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction;
Cost of Construction: 3.553.00
Sq. Ft. of First Floor:
Lltiiities= —Sewer _Septic BniJding Height:
CONTRA
Nave Rubie & Carl Noble Name. Michael Heissenbgrg
Address: 1 04 N 37th St Company: Expert Shutter Services
city: Fort Pierce state. FL Address_ 668 UV 1 hitmore Drive
ZIP Code: 34947 rax. city; Part Saint Lucie FL
Phone No. 77-940-1156 E- Zip Code; 34984 Fax.
Mail:_ Prone No772-871-1915
Fill in fee simple Title Holder on next page (ib: different E-Mail Permits exper'tshutters.corn
from the Owner listed above) I State or County License 16572
It value of Construction is 2500 or more, a RECORDED r OUCe Df CammenCement is required -
If value of HAVC is.$7,500 or mare, a RECORDED Notice of Cum rnencernent is required.
R: Not
Name: TA-3, '—
Add ress- B356 NW35th St #3os
City,
ZIP- 3816�
Phone
FEE $1MPEE TITLE HOLDER:
Name: --
Address:
City -
Zip: Phone:
State: FL
Not Applicable
M0RTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
tat:
BONDING COMPANY. _ Not Applicable
Name;
Address
Ci#y:
Zip: Phone;
OWNER/ CONTRACTOR 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 Cipunty rnakes no re resentatian that is granting a Permit will authprixe the permit balder tp build the subject structure
Which conflicts with an applicable Homeowners AAsssociation rules, bylaws or and covenants that may restrict a prohibit such
structure. Please consu�t with your Homeowners Association and rRvGew your deed far any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I. will, in ail respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amen drments.
The following building per rnit applitabuns are exempt from undergoing a fuil concurrenc'y 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 Natice 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,
LuOe County and posted on the jobsite before the first inspection- If you intend to obtain financing, coqsttlt
with lender or an attorney before commencing work or recording your Notice of Cor'nrnenCement.
Signature of Owner/ Lessee/Contrr+ Agent far Owner
STATE OF FLORIDA
COUNTY OF St. Luose
Swot o (or affirmed and subscribed before me of Physicat Presence or Online Notarization
this day of , 21)by -
Michael Heiawnberg
Name of per= making5taternent. •'�
Personally Known x OR Produced Identification
Type f Identification Produced
(Signature. of Notary Public- State of Florida)
Sharron O'Shea
Commi55ion No, GG 038 (Seal) NOTARY PU13LIC
STATE Of= FLORIDA
Commit C-4258038
Eu[jires Oil211022
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