HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number,
Building Permit Application
ftnirrng and Development Services
SuddingQndCode RegulartionDivision Commercial _ Residential
1300 Virgiruo Avenue, hart Pierre Ft 34982 —
Phone: (772) 462-1553 Fax, (772} 462-1578 CBDC Funding—
PE RM ITAPPLICATIONFOR: Hurricane Shutters
Address: 8047 Plantation Lakes Or
Property Tax ID #: 3321-803-0044-000-0 Lot No. 40
Site Plan Narne: Black No.
Project Name: Valencia
Install 4 accardian shutters
New Electrical Meter Second Electrical Meter {Affidavit required)
�CC*E�STr�I.� CTIC �A1 INFORMATION. _
Additional work to be performed under this permit —check all that apply=
_Mechanical _ Gas Tank —Gas Piping X Shutters Windows,/Doors _ Pond
Electric — Numbing —Sprinklers — Generator � Roof Pitch
Total 5q, Ft of Construction: Sq- Ft. of First Floor:
Cost of Construction: ,526-00 'Utilities: — Sewer _ Septic Building Height:
Narne Steven & Terry Valencia Name: Michael Heissenberci
Address, 8047„Plantation Lakes Or _ Cornpany: Expert Shutter ServIces
City: Part St Lucie state: FL Address; 668 SVV Whitmore Drive
Zip Code: 34986 Fax:. City: Port Saint Lucie state: FL
Phone No. 772-971 -3655 E- Zip Code, 34984 Fax:
Mail. Phone No77-871-1915
Fill in fee simple Title Holder on next page (if different E-Mail perrriits a expertshuRers.com
from the Owner listed above) State or County License 16572
If vaiue of construction i5 250a ar mare, a REi*ORDED notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Noti[e of Ccmmencorn ent is required.
DESIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: T*p r-a.,nc Name:
Address, 6a55Nwwmst.#305 Address
City: VrrginisCsrdens State, FI. City: State:
Zip, M65 Phone Zip: Rhone:
FEE SIMPLE TITLE HOLDER: "' Not Applicable BONM NG COMPANY: Not Applicable
Name, Name. _
Address: Address:
City. City:
Zip: Phone, _ Zip: Phone,
OWNER/ CONTRACTOR AFFIDINT: Application is hereby made to obtain a perm it to do the work and installation as indicated.
I certify that nu work a installatian has ccmmenced prior'to the issuance of a permit_
St Lune CgStunty makes no representation that 3s granting a Permit will authorize the permit holder to build the subject structure
which conflicts with an ap 11 ble HarneowrEerS Association miles, bylaws i artd eovona ,ts that may res in ar prohibit such
please
structure. consult with your Homeowners Association and review your deed for any restriction; which may apply,
In consideration of the granting of this requested permit, I do hereby agree that I wlll, in all respects, perform the warn
in accordance with t!he approved plans, the Florida Building Cad es and St_ Lucie Courrty Amendments.
The folIowirig building permit applications are exempt from undergoing a full concurrency review; rmrn additionsr
accessory structures, swimming pools, fences, walls, signs, 5craen rooms and acressory uses to another parr- residential use
WARNING TO OWNER: Your failure to Record a Notice of Commertcernent may result in paying twice for
improvements to your property_ A Notice of Commencement must be recorded in the public records of St.
Lucie Cou my and posted on the )obsite before the first irispection. If you intend to obtain financing, consult
with ladder or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/CcnAgent for Owner
STATE OF FLORIDA
COUNTY OF St. Ludo
Sworn to (or affirmed) and subscribed before me of x Physicaf Presence ar Online Notarization
this --L— day of �_ 20by
Mi Mml Heissenberg
Nance of person making statement,
Personally Known x OR Produced Identffication
_
7y Of identification Produced
(signature of Notary Public- State of Florida}
Sharron O'Site r
Commission No. (30250038 (Sea I) NOTARY PUBLIC
STATE OF FLORIDA
Comm# G02550M
Expires 911212422
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