HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INF0 MUST aE C.0MPLETED FOR APPLICATION TO BE ACCERTED
Date: Permit Number:
^L
°l` • Y Building Permit Application
Pioruring and Deve(.apment Services
gruilding and Code Regulation D;V;sion Commercial Residential
2300 Virginia A venue, Fort pierce FL 34982
Phony. (772) 462-1553 Fax. (772) 462-1579 CBDG'Funding
PERM ITAPRLICATI0N FO R: H u rricane Shutters
Addre55:5709 Buchanan Di. — -
Praperty Tax I #: 402-60-0009-000-7 Lot No. 34 & 35
Site Plan Name: Block No. �
ProjeCt Name: Coppock -
DEr-Al M.
w--...
Install 2 panel shutters
New Electrlral Meter Second Flevrical Meter (.Affidavit required~
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CONSTRUCTION INFORMATION.
Additional work to be performed under this permit - check all that apply:
—, echanicai _ Gas Tank _ Gas Piping X Shutters _ Windows/Doom _ Pond
. Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pith
Total Sq. Ft of Construction'. Sq- Ft. of First Floor:
Cost of Construction. Utilities: _ Sewer , Septic Building Height:
L 14 ; . .. .x...'.' '�}tif'f 1: � _ � ��ti''
y y ..-'F '
Name Jason & Kathedne OoppoGk
Name: Michael Heissenherg
Company: Expert Shutter Services
Address: 5709 Buchanan Dr.
city, Fart Pierce state: FL
Address: 668 SW Whitmore Drive
City: Port Saint Lucie State: FL
Zip Code:.,JA982_ Fax:
Phone No,-77-60-0078 E-
Zip Code: 34984 Fax:
Mail:
Phone No77,871-1915
Fill in fee simple Title Holder on next page (if different
E-Mail NrnnRs expertshu#ters.ccm
from the Owner listed above)
State or County License 16572
If value of construction is 25DO or more, a fRECOfRDiED Notice of Comm enrrement is required,
If value of HAVC is 97,500 or rnare, a RECORDED Notkce of Commencement is required.
DEStGNERJENGINEER:
Name: r1wu'-1nc,
Address, 6356 Nw 38'h $t #346F f
City; Virginia Cx dens State,. r,
dip; 331ee Phone _
FEE SIMPLE TITLE HOLDER;
Name;
Address. —
City:
Zip: Phone: _
e
MORTGAGE COMPANY:
Name:
Andress.
City:
Zip: Phone:
Not AppIicable
State:
blot Applicable -� BONDING COMPANY: Not Applicable
Name; _
Address:
City;
Zip:.
Phone-.
OWNIER/ CONTRACTOR AFFIDVIT: Application is hereby made to 0bt2in a permit to do the work and Installation as indicated.
1 certify that no work or installation has comrnented prlor to the issuance of a permit.
St. Lucie County makes no rep resentation that is rarrtir�g a permit will authoritp the permit holder to build the subject structure
which conflicts w1th an applicable Homeowners ssoci2tlon rul bylaws or and covenants that may restrict or prohibit such
strurtur2_ please consult with your Hem RownErs Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested perrnif, I do hereby agree that I will, in ali respects, perform the work
in accordance with tt+e approved plans, the Florida Building Codes end St. Lure County Amendments.
The tolIowing building permit appftations are exempt from undergoing a Full con cureency review: roam additions,
accessary structures, swimrning pools, Fences, walls, signs, screen rooms and a€cessory uses to another non-residential use
W►4RNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice far
Improvements to your property. A Notice of Commencement must be recorded in the pubIIc 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 Owned Lessee,iContrarxat Agent For Owner
STATE OF FLORIDA
COUNTY OF Si. �ucle
Sworn to (ar affirmed) and sub%rlbed befRirre me of x
Physical Presence or Online Notarization
this day of (JZ. . 2C�rc by
Michael Hesseerg
Name of person making stat;-,ment.
Personally Known X 0R Produced Identification
Type.& Identification Produced_
1
(Signature of Notary Public- State of Florida
5hanon CrShea
Commission No. GG2580 [Sean
NOTARY PUBLIC
STATE OF FLOR10A
Oorrtrn# GG25W38
Expires 911212022
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