HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
' RECEI'' 1 JUL Oo Z017
K40161IFNIM SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter III
Address: 7618 Greenbrier CIR
Legal Description: POD 19 PUD II GREENBRIER (PB 41-5) LOT 65
Property Tax ID #: 3322-700-000-000-8 Lot No.
Site Plan Name: Block No.
Project Name: LIPSIO
Setbacks Front X Back: X Right Side: X Left Side: X
INSTALL 15 ACCORDIAN SHUTTERS AND 1 ROLL CRANK SHUTTER
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0HVAC Gas Tank ❑Gas
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Piping Shutters ❑
Windows/Doors
Electric 0 Plumbing []SprinklersE]
Generator 1:1
Roof
Total Sq. Ft of Construction: Sct. of First Floor:
Cost of Construction: $ 9,873.00 Utilities: Sewer Septic Building Height:
Roof pitch
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Name RENEE LIPSIO
Name: Michael Heissenberg
Address: 7618 GREENBRIER CIRCLE
Company: Expert Shutter Services
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.772448-8130
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
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Name:
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Address:
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City:
State:
Zip:Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend/ o obtain financing, consult with lender or an attorney before
commencing work o cu -ordwi mrvour Not ce of Commencement. /l
Signature
STATE OF FL99!DA STATE OF FLORIDA
COUNTYOF� l ACA-e I COUNTY OF St L y LL
The forgoing instrument was acknowledge, efore me The forgoing instrument was acknowledged before me
this 20L!by thisZ2dayof JLLVLf 20 n by
Michael Heissenb&g Michael Heiswnberg
(Name of person acknowledging) (Name of person acknowledging )
Signature of o ary Public-Stateof Florida) ignature o No ry Public- State of Florida )
Personally Known -/ OR Produced Identification Personally Kn wn �/OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No��r�—, (fJ�39 eal)Haleigh Russell Commission No`n Z 0%"��`i (Seal)
NOTARY PUBLIC I .�IIWAo_ Halegh Russell
Revised-07/15/2014 e Comm# GG108399 STATE OF FLORIDA
Expires 5/25/2021 Comm# GG108399
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
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