HomeMy WebLinkAboutApplicationAlf APPLICABLE INFO► MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit plumber:
C --CLL
�,�
J7 Building Permit Application
Manning and Development Services
Sur'ldingand Code Regulation Drursron Commercial Residential
2300 Virgfnjo Avenue, Fart Xer4ue Ft 349S2
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDC Funding
PERMIT APPLICATION FOR: Hurricane Shufters
Address; 2005 Lynx Dr.
Property Tax ll)#. 1 45-$ 0-0011-000-
Site Plan Name:
Pro]ect Name: Graf
fn tall 18 accordion shutters
New Electrical Meter Second Eleorical Meter
CONSTRUCTION INFORMATION:
Additional work to he performed under this permit -check all that apply:
_Mechanical _fiasTank � ,aSPiping } Shutters
Lot No. 1$
Flock No -
rAfffdavit required]
_Windows/Doors aorta
_Electric _Plumbing _.Sprinklers _Generator Roof Pitch
Total Sq- Ft of Construction:
Cost of Construction: $ 8,70-00
Name Robert Graf & Connie Graf
Address: 26 Wieczorko ski Ave.
City: Parlin State:FL
Zip Caste: 08859 Fax:
Phone No. 73-678-5254
Mail:
Sq. Ft. of First Floor:
Utilkties: —Sewer —Septic Building Height:
Fill in fee sifnpie Title Haider on next page jif different
from the Owner listed above)
E-
name: Michael Heissen
Company, Expert Shutter of -vices
Address: 668 SVV Whitmore Drive
City: Port Saint Lucie state: FL
Zip Code: 34984 Fax:
Phone No77-871-1915
E-Mail perrnits@expertahutters.com
State or County License 16572
if value of construe ticn is 25DO 0r more, a RECORDED Notlte of Comm enrem ant is required.
If value of HAVC is $7,500 11r more, a RECORDED Notice of Cornmenrem ent is required.
DESIGNER/ENGINEER: Not Applicable
Name: ;d6eco.lnc
Address: 5365 NVY 36th Si. NCZ
City: VirgaikaGsreens
Zip: aisa Phone
State. FL
FEE SIMPLE TITLE HOLD FR: k Not Applicable
game:
Address: ---
City;
Zip: Phone -
MORTGAGE COMPANY: Not Applicable
Name.
Address.,
City, State:
Zip: Phone;
BONDING, COMPANY -
Name:
Address'
City:
Zip: Phone;
A Not Appkab]e
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the woo and installation as indicated.
I certify that na work or installation has commenced iarior to th€ issuance of a permit.
St. Lurie County makes no representation that is grant -in a permit will authorize Ole permit holder to build the subject structure
vibich conflicts with any applicable Homeowners Associaion 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 perrn t, € do hereby agree thi3t I will, in all respects, perform the work
in accordance with the approved plans. the Florida Ouiiding Codes and St. Lucie County Amendments.
The following building permit applications are exempt fram undergoing a full concurrency review; room additions,
aocessory structures, swimming pools, fences, wells, signs, screen Toorns and accessory uses to @nother non-residential us€
WARNING TO OWNER: Your faifure 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 atto mey before co m mcknd ng work or re c oc d 1 ng your Notice of Cort7merlcememt_
Signature of Own-erf Lessee/Contra ort' Agentfor Owner
STATE OF FLORIDA
COUNTY OF St LLcig
Swarm to (ar affirmed) and subscribed before me of I Physical Presence or Online Notarization
this � clay of —MUZ , 20; A by
Micheal Heiaeenb"
Fume of person making statement_
Personally Known x OR Produced Identification
Typof Identification Produced T
_S4�'LVDVI. )I
{Signature of NDtary Public- State of F:
Commiss, on No. GG250038 (Seal)
REVIEWS FRONT I ZONING
CCUNTER REVIEW
DATE
DATE
COMPLETED
r Sltanon O'Stlea
NOTARY PUBLIC
STATE OF FLORIDA
Comma! G0258038
Expires 9!1tIU22
SUPERVISOR I PLANS I VEGETATION I SEATURTLE
REVIEW REVIEW REVIEW REVIEW
MANGROVE
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