HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �a- t )ai5
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Building Permit Application
Planning and Development Services F�3 01 2022 !
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Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982 S7. Luce Co ,
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane Shutters
PRCPQS�D11?R7VEMENT iC}CAT.10N 5
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ACIclress: `►Lyy IV rllL�j.IIWC1Y /-%ItAt-%PL IU0
PropertyTax ID #. 1423-501-0054-000-3 Lot No.
Site Plan Name: Block No.
Proiect Name: Forster
msiau -I accormon snutter
New Electrical Meter Second Electrical Meter (Affidavit requiied)
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping X Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,490.00 Utilities: _ Sewer _ Septic Building Height:
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C£?NTRACTOR
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Name Maureen D Forster
Name: Heissenberg
_Michael
Address: 4250 N Highway A1A Apt 706
Company: Expert Shutter Services
city: Hutchinson Island state: FL
Address: 668 SW Whitmore Drive
City: Port Saint Lucie I State: FL
Zip Code:34949 Fax:
Phone No. 917-940-7539 E-
Zip Code: 34984 Fax:
Mail:
Phone No772-871-1915
E-mail Permits@expertshutters.com
Fill in fee simple Title Holder on next page (if different
State or County License 16572
from the Owner listed above)
11 VdlUC v1 Wnstruczwn is couu or more, a KtL UKutu Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Tilteco, Inc.
Name:
Address: 6355 NW 36thSt. #305
Address:
City:
State:
City: Virginia Gardens State: FL
Zip: 33166 Phone
Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone: i
I
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.
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St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any. applicable Homeowners Association 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
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 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 Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded i'n 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 attornev before commencinlay work or recordine vour Notice of CnmmenremPnt_
Signature of Owner/ Lesse-e/Contrac 711Eent for Owner
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STATE OF FLORIDA
COUNTY OF St. Lucie
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Swor to (or affirmed) and subscribed bef a me of x
this � day of 20�by
Physical Presence or Online Notarization
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Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification
Typerpf Identification Prod(ucced
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(Signature of Notary Public- State of Florida)
Shea
ShanonAssn
(Sea[) ���0(PRY
Commission No. GG258036 Seal Q � i
NOTAR PUBLIC
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'--"STATE OF FLORIDA
s�NCE
Comm# GG258038
i9�`s Expires 9/12/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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COMPLETED
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