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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: (7 Ol 0a, - ©3X7 Date: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: Hurricane Shutters PROP05ED)PROIEMENT`LOCAT)ON •vKsr, a-�--�a.armaso �tw.nkon ».-_ Address: 3200 N HIGHWAY A1A 905 Property Tax ID #: 1425-600-0081-000-1, Lot No. Site Plan Name: Block No. Project Name: Scawthorn Install 3 accordion shutters New Electrical Meter Second Electrical Meter Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping X Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4,009.00 (Affidavit required) Windows/Doors _ Pond _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: ,M.•..y ';°} ta�'"rr ;;..,.,4xP '£"s£.d OWNRCESE ,. ~ pp� if5� i fir. �Ct3NTRACTC}R r �,; �q`�£,°$5`}'S Name Kenneth & Amelia Scawthorn Name: Michael Heissenberg Company: Expert Shutter Services Address: 3705 W Valley Green Dr. Address: 668 SW Whitmore Drive city:Davie State: FL Zip Code: 33326 Fax: City: Port Saint Lucie State: FL Phone No.954-830-9156 E- Zip Code: 34984 Fax: Phone No772-871-1915 Mail: Fill in fee simple Title Holder on next page (if different E-mail Permits@expertshutters.com from the Owner listed above) State or County License 16572 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 5UF'PLEtVlEN1'AI: C®NSTRl1CT[SSCiN L E� AUU NEORtM Tlt;Nxi � WIN, DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Tilteco.Inc. Name: Address: 6355 NW 36thSt. #305 Address: City: Virginia Gardens State: FL City: State: Zip: 33166 Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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. 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 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 commencing work or recording your Notice of Commencement. Signature of Owner/ Lessee/Contractor` g nt for Owner STATE OF FLORIDA COUNTY OF St. Lucie Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this .8 day of Feb. 2o22 by Michael Heissenberg Name of person making statement. Personally Known x OR Produced Identification f Identification Produced Type 6\,0AQA,_ ( .B1 (Signature of Notary Public- State of Florida) ,%my Shanon O'Shea Commission No. GG258038 (Seal) NOTARY PUBLIC o ESTATE OF FLORIDA ? Comm# GG258038 Expires 9/12/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/20/21