HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLF INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
PJonning and Development Services
Permit Number:
Building Permit Application
Building and Cade Regc++ation Divisforn
2300 Virginia Aver) ue, Fart Pierce FL 34962
Phone: (772) 462-1553 Fax: (772) 462-1578
Corn Inn ercial
CBDG Funding
i IT APPLICATION FOR- Htjrricane S hLate rs
.I PROVEM ENT LOCATION;
Address; 12 Golf Dr.
Property Tax ID #' 34 6-500-0393-000-3
Site Plan Name=
Project Name: Hasa
LtD'DEscRfR-ndN OF WORK:
., ..,
Install 10 accordion shutters - —
New Eler-triral Meter Second Electfical Meter
CONSTRUCTION INFOR #ATION:
Additional work to be performed under this permit — check all that apply:
_Mechanirai _ Gas Tank _ Gas Piping
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction;
Cost of Construction: S 7, 315-00
Name MIrcea Hasa
Address: 12 Golf Dr.
city: Port Saint Lucie
Zip Code. 3495
Residential
(Affidavit required)
X Shutters _
Gefierator
Sq. Ft. of First Floo(;
Lot No. 1
Block No. 1 & 2
Windows/Doors Pond
Utilities. _ Sewer Septic
O TRACTOR'
Roof Pitch
SuHdirig Height:
Narne; Michael Heisseabera
Company: Expert Shutter Services
address: 668 SVV Whitmore Drive
city: Port Saint Lucie State, FL
Phone No. 586- -8945 E- Zip Corte: 34984 Fax;
Mail:_ Phi)ne No772-871-1915
Fill in fee sirnpie Title Haider on next page (if different E-mail perrrtits(c exper#shutters. ccm
from the Owner listed above State or County License 1657
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or mare, a RECORDED Notice of Co rnme ncem Opt is required.
Fax;
State, EL
EER: Not
Name: r.%oo, ice.
Address; sassrr 3ftst.03o5
City: Yrgirm Gardens State:
z1p: 33188 Phone
FEE SIMPLE TITLE HOLDER:
Name;
Address:
city-
Zip- Phone-
FL
* Not Applicable
MORTGAGE COMPANY- * Not Applicable
Name:
Address:
City: State.
zip. _ Phone:
BONDING COMPANY:
Name:
Address=
0ty:
Zip: Phone:
* Not Applicable
OWNER/ ODNTRACYOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instaila#ion as indicated,
I certify that no work or installations has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantin a permit will authorize the permit holdertra�
to build the SUb}ect 5tture
which conflicts with and applicable Harneowners Assoc!a ion ruiesr bylaws or and covenant', that may restrict or prohibit such
structure_ Please consu t with your Homeowners Association and review your deed for any restricflon5 which may apply.
Jn considaeration of the granting of this requested permit, I do hereby agree that I will, in all respects, perfa;-m the work
in accordanoe with the approved plans, the Florida Building Codes and St. Luria} County Amendments.
The fallowing 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-resufential 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, consuit
with lender or an attorney before commencing work or recording your Notice of Cornmenaremen#,
SignatureofOwnerJLesseefContra o{ Ag`ntfor Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
Swor c (or affirmed) and subscribed before me of x Physical Presence or Online Notarization
this day of fl. by
Michael Heisaer
Name of person making statement,
Personally Known x OR Produced Identifiration
Type f Identification Produced
a*Qk or 1&^
(Signature of Notary Public- State of Florida)
x Stianon O'Shea}
Commission No. GG25BD36 (Seal) NOTARY PUBLIC
STATE OF FLORIDA
Commie GG2560M
Expires W1212022
i
REVIEWS FRONT ZOFJIhIa SUPERVISOR PLANS VEGETATION SEA TURTLE tx+fANGIOVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE - `
RFCFIVF:D
DATE
COMPLETED
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