HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. Permit Number:
�'l' —C
`~ ...... Building Permit Application
Planning and r7evebpment Services
Building and Code RegWaricn DiWsion Commercial Residential
23 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fox: (772) 4 -1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane Shufters
Address: 311 Helm+ Ave.
ProPertyTax ID #' 3419 10-0 07- -3 - Lot No. 8
Site Plan Name; Block No. 1
Project Name: enther
"OESC RPM- N OF WORK -
Install 5 accordion, 1 crank roll 4 Bahama shutters _
New Hectrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION'
�.
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping Strutters indowsfDonrs _Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction. Sq. Ft. of First Floor:
Cost of Construction_ 6,7 8M utilities; —Sewer —Septic Building sleight:
;,OWNER/LESSEE:
CONTRACTOR -
Name: Michael Heissenberq
Name William Genther _
Company_ Expert Shutter Services
Address:31 1 HollyAve. _
City- Pori: St. Lude State:FL
Address: 668 SW Whitmore [rive
city: Fort Saint Lucie State: FL
Zip Code. 3495 Fax:
Phone No. 77 -6Q7- 96 E-
Zip Code: 3498E Fax:
mail:
Phone No772-871-1915
Fill In fee simpie Title Holder on next page (if different
E-Mail perrnfts@expertshutters.com
from the Owner listed above)
State or County License 16572
R value of construction is 2SOO or more, a RECORDED Notice of Commencement is required.
it uaius of HAVC is $7,500 or moire, a RECORDED Notice of Commencement is required.
DESIGN EkJE[IIEER: Not Applicable MORTGAGE OM4Y•. Not Ap1#Cdie
Narne: Tiltcco.;nc. Name:
Address: Address;
City: virgims Gardens State: FL City: State:
Zip: a ' e Phone Zip: Phone-
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY-. Not Applicable
Name;
Name;
Address:
Address: ---
City;
City.
Zip- Phone;
Zi p; Phone;
OWNER/ CONTRACTOR AFFIDVIT: APPlicaxion is hereby made to obtain a joermit to do the work and installation as indicated.
I certify that no work or 1nstaNation has corn rne ced prior to the issuance of a permit
St. Lucie C unty makes no representation that is ggrantingg a� permit will authorize the perrnit holder to build the wbject structure
which conflicts with any applicable FlomeownersAssocia�ion 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
,n 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 coricurrency review: room additions,
accessory structures, sMimming pools, fences, walls, signs, screen MOM 5 and accessory uses to another non-residential use
WARNING TO OW NER., Your fa11ure 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 pub his records of St.
Lucie County 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 recordinjZ yow Notice of Commencement.
Signature of Owner/ Lessee/Contrf Agent for Owner
STATE OF FLORIDA
COUNTY OF �t Lunie
Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online NotBvization
this day of y lea : - 2Qby
i m0lisel Hemaemterg
Name of person making statement.
Personally Known _x OR Produced Identification
Type of Identificadon Produced
(Signature of Notary Public- State of Florida) Sharon
Gommi55ipn No. =2MG38 peal] r NOTARY PIJ13LIC
5 STATE OF FLOR10A
Comrr)ft GG25W36
cE Expires 91121Z02
REVIEWS FRONT ZONING SUPEPVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
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DATE
COMPLETED '
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