HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Data:
Permit Nurnbef:
Building Permit Application
Nanning and Development Services
Budding and Cade Reguiatlon Division
2300 Virginia A venue, Fort Pierce FL 14982
Phone: (772) 462-1553 Fax; (772) 462-1578
CcmmercisI
CBDG Funding
Residential
PERMIT APPLICATION FOR: Hurricane Shutters _ -
F•: WSIOWROVE O -
Address: 5607 Eastwood Dr-
PropertyTax ID #; 1 01-61-0048-000-7 Lot No. 14 - 14-A
Site Plan Name:
Protect Name: Shinn
r-----.�- ---
D-- AU_0'.DE CRtPT#O OF WORK:
I nsta 112 Bahama & 13Accordion s-- :ttarn
New Electrical Meter 5etond Electrical Meter— Wfidavit required)
CON STRU TION I NFO RMATION .
Block No.
Additional work to he performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors Pond
Electric — Plumbing —Sprinklers i Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cast of Construction: 5 _10,679.00
Name Roger A- Shinn (LF EST
Address: 5807 Eastwood Dr.
Sq. Ft- of First Floor:
Utilities: _Sewer _Septic Building Height:
City: Fort Pierce State: FL
Zip Code: _34951 Fax:
Phone No, 772-828-1860 _ E-
Mail:
Fill in fee Simple Title Holder on next page (if different
from the Owner Listed above)
Name: Michael Heissenber
Company: Expert Shutter Services
Address= 663 SW Whit_more Drive
city: Port Saint Lucie State; FL
Zip Code: 34984 fax;
Phone No 772-871-1915
E-Mail permits@expertshutters.com
State or County License 16572 _
It value of constructIon is 2500 or more, a RECORDED Notice of Corn mence ment is required,
Jf value of HAVC is $7,500 or more, a RECORDED Notice 0t Commencement is required,
DESIGN
Not
fUame: Tilheca,lnr-
Address: 6355 NW 36lh St *805
City- VIr9;ta Gaitens Statip: FL
zip: 1a196 Phone
FEE SEMPLE T[TLE HOLDEFt: Not Applicable
Name:
Addre.5s-
City:
ZIP: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: Stater
Zip; Phone,
BONDING COMPANY:
Name:
Address:
i City' ^- - -
I Zip- Phone -
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated,
1 certify that no work or installation has commenred prior to the issuance of a permit.
St. Lucie County makes no representation that is ranting a perrnit will authorize the permit Folder to build the subject structure
which ronflicts with erl applicable Homeowner-5 0 ,ation rules, bylaws or and covenants that may restrict or prohibit such
structure- Please consu�t with your Horn eowners 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 accord ance with the approved plans, the Florida Building Codes and 5t. Lu6e County Am endmen ts.
The following building permit applications are exempt from undergaing a full con current+ review- room additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and aruessory uses to another non-residential use
WARNING TO OWNER. Your failure to Record a Ratite of Commencement may result in paying twice ifor
improvements to your property- A Notice of Commentern4�nt must be recorded in the public records of St.
Lucie Coonty and posted on the jobsite before the first inspection- If you intend to obtain f inancing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement -
Signature of Owner/ Lessee/Contra "erit for owner
STATE OF FLORIDA
COUNTY OF st Gino
Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization
this,41 day of X, 'l 70 •by
MiliChael Heisaenbeig
Name of person making statement.
Personally Known x OR Produced Identification
Type.& Identification Produced
(5ignature of Notary Public- State of Florida) hanon O'Shea
CO259036 NOTARY PUBLIC
Commission Na. {Seal) - STATE* OF FLORIDA
CoMWAGG2500n
Expires 9/1212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION! SEATURTLE MANGROVE
COUNTER REVIEW REV IE REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED - -
DATE
COMPLETED