HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � ,r ��
Date: '�ot• Permit Number: ' /��/
} „" .. RECEIVED
Building Permit Application MAR 2 2 2022
Planning and Development Services St.,Lucie County
Permitting
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
y b £ Y O q 3'4"# N 01.
�JQ , 0�{i�GlYilv �l.L"/1: �.t�',�l,e� ,.4,t .4....� r�, r. ...s.b 4 ...a �.." ..., ..9.� ��y. +k..-,`#„ q,u:
�.. ,,� �,,w „ ,�, ,.
Address: 9400 S OCEAN DR 607
Property Tax ID#: 3535-702-0046-000-1 Lot No.
Site Plan Name: Block No.
Project Name:Decurtis
�. ,�
Install 1 roll shutter
New Electrical Meter Second Electrical Meter (Affidavit required)
sTauc�r �l luFaR �, r u
"$ cn
�:�`�'f�..'�; �..�.,c .,.,_...._, .# a rk'✓ 'f,s �;n,...W .. �- ,..,..0 .,,...: a#«��5� ..,,x. r_�-s'- �k. z°F' ��. rx "9°3.._.<..1�
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping X Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of.First Floor:
Cost of Construction:$ 2,303.00 Utilities: —Sewer —Septic Building Height:
Name Patricia A Decurtis Name: Michael Heissenberg
Address: 316 Richard Ave Company: Expert Shutter Services
City: Staten Island State: NY Address: 668 SW Whitmore Drive
Zip Code: 34957 Fax: city:Port Saint Lucie State: FL
Phone No.772-229-1153 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
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.
51RPLEMENTAL CONSTRUCTION LIEN LAW 1NFdRMAT{UN�
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Tilteco,Inc. Name: _
Address: 6355 NW 36th St.#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 our Notice of Commencement.
Signature of Owner/Lessee/Contractor as ent 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 day of M,,G(X_CJ) 20 V by
Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification
Type If Identification Produced
(Signature of Notary Public-State of Florida)
(0.Byq Shanon O'Shea
Commission No. GG258038 (Seal)' o NOTARY PUBLIC
a< -STATE OF FLORIDA
Comm#GG258038
�b a t Expires 9/12/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev