HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '
Date: Permit Number:
OW 1I'
u� Building Permit Application MAR 0 9 2022
Planning and Development Services ST. de County, Perinittinc�
Building and Code Regulation Division Commercial X Resid ng --
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane Shutters
Address: 10600 S Ocean DR Apt 902
Property Tax ID #: 4511-517-0089-000-5 Lot No.
Site Plan Name:
Project Name:Cavanagh
Install 1 accordion shutter
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
(Affidavit required)
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 3,916.00
Sq. Ft. of First Floor:
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
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Name Mark Cavanagh 9
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 10600 S Ocean DR Apt 902
city:Jensen Beach State: FL
Address: 668 SW Whitmore Drive
Zip Code:34957 Fax:
city: Port Saint Lucie State: FL
Phone No. 401-742-4630 E-
Zip Code: 34984 Fax:
Mail:
Phone No772-871-1915
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
it value of construction is Z500 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.
DESIGNER/ENGINEER:
Name: Tilteco, Inc.
Address: 6355 NW 36thSt. #305
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
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 attornev before commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor a gent 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 0.� day of Feb 2Q�. by
Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification .
Type pf Identification Produced
jAAAPNt__' v�
(Signature of Notary Public- State of Florida)
Shanon{;O'Shea
Commission No. GG258038 (Seal)
NOTARY PUBLIC
STATE OF FLORIDA
*wclro
Comm# GG258038
Expires 9/12/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21