HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICA13LE INFO MUST BE COMPLETED FOR APPLICATI0N TO BE ACCEPTED
Date:
Perrnit Number.,
Building Permit Application
Piwirnrrig and Development Services
guilding and Code Regulation Division Commercial Re5identiall
230D Virginia Avenue, Fort Pierce FL 34982
Phone, (772) 4E2-1553 Fax: (772) 462-1579 CBDG Funding
PAR IVIIT APPLI1,JATIUN fOR
PROPOSED I PRi~ VEMEW
Address; 5950 Whlpoorwili Ln.
Property Tax ID #: 32 11-811-00 0-000-3
Site Pian Narne=
Project Name: Oswald
Install 5 accordion shutters
New Electrical Meter 5erard Electrical Meter
CONSTRUCTION iNFORMATIOW
(Affidavit required)
Lot No. 5
Block No.
Additional work to be performed under this perrnit — check all that apply:
_Mechanical _ Gas Tank _ Goa , Piping X{ Shutters _ Windows/Doors Pond
Electric _Plumbing _Sprinklers
Total 5q- Ft of Construction:
Cast of Construction: $ 3,002.00
_5enerator Roof Pitch
Sq. Ft. of First Floor -
Utilities: _Sewer _Septic SuildingHeight:
Name Sumer & Carl Oswald -
Address: 5950 WhipoorwiII Ln-
ility: Port Saint Lucie state: FL
Zip Code: 34987 Fax. —
Phi)ne No- 305-613- 08 5 E-
mail:
FiiI in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Michael Heissenberg
Company; - Expert Shutter Services
Address: 8 6 8 SW Whitmore Drive
City: Port Saint Lucie State: FL
Zip Code- 34984 Fax:
Phone No772-871-1915
E-Mail perm[ts@expertshutteFs.com
State pr County License 16572
ff value of Construction is 2500 or more, a RECORDED Notice of Corn mence ment is required,
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement 19 repaired,
INE ER:
Name' T+'eco, Ind
Address: 605$ aw36m sr *506
City; 1RrinlBGan]ens
ZiP. sa}es
Phone
FEE 51MPLE TITLE HOLDER:
fume:
Address:
Citv:
Zip: Phone: -
State: Fl-
* Not Applicable
MORTGAGE COMPANY —
Nance:
Address;
City:
Zip- Phpne'
} Not Applicable
State:
BONDING COMPANY: Not Applicable
Marne:
Address: —
City:
Zip:.
Phone:
OWNER/ CONTRACTOR AFNDVIT: AppliEation is hereby made to obtain a permit to ciao the work and in5tella#ion as indicated,
I certify that no work or inskaIIstion has commenced prior to the issuance of a permit
St. Lucie County makes no representation that is ranting a permit wilt authorize the permit holder to build the subject structurR
which conflicts with an appl��bGe Nomeowner�s ssmia ion rules, bylaws or and covenants that may restrict or prohibit such
structure. Please Gansu t with your Homeowners,4s5aciation and review your deed for any restrictions which may apply -
In consideration of the granting of this requester! permit, I do hefeby agree that I will, in all respects, perform thQ work
in 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 concurrency reuiew; roam additions,
accessory structures, 5wirrming pools, fences, walls, signs, Screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Corn merscement may resutt 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, consult
with lender or an attorney before comrnenOng work or recording your Notice of Commencement.
.may
Signature of Owner/ LesseeXantraa& Agent for Owner
STATE OF FLORIDA
COUNTY OF $1 1-We
Sworn to for affirmed) and subscribed before me of y
Physical Presence or, Online Notarization
this ;;dayof .j) T�20 lby
Michad Fiei33enherg
Name of person making statement.
Personally Known A OR Produced Identification
Type ldentifacation Produced
i
(Sign atureof Notary Puisfic-State of Florida) ��. Stianon O'Shea
Gw50030
Cammi55ioftHo. (Seal) r
NOTARY PUBUr,
FSTATE OrFLORIDA
x. Comrn# G3258039
Expirag 9f 1 2=2 2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTU
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
--
DATE
COMPLETED
ev