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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONe ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p Date: Permit Number: 0 Q 0 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Shutter -PRO POSED. I M PROVEM ENT LOCATION: Address: 1004 Shore Winds Dr#B Legal Description: %CORAL COVE BEACH -SECTION ONE- BLK 1 ELY 16.71 FT OF WLY 45.90 FT OF PARCEL MPDAF: LOT 4-LESS W LY 15.7 FT AND SLY 10 FT VAC ALLEY ADJ ON N (UNIT B) (OR 3943-143) Property Tax ID #: 1425-701-0005-010-8 Lot No. Site Plan Name: Block No. Project Name: Gearhart Setbacks Front Back: x Right Side: Left Side: DETAILED DESCRIPTION;OF WORK. Install 4 accordion shutters CONSTRUCTION INFORMATION: t I�HVAC L I Gas Tank Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 2,432.00 Sas Piping I❑_I Shutters ❑ Windows/Doors Sprinklers L Generator 0 Roof = Roof pitch S Ft. of First Floor: _ Utilities: Sewer D Septic Building Height: OWNERAESSEE CONTRACTOR: Name Maria Joao Fajardo Gearhart Name: Michael Heissenberg -Address:114 N 6th N L-ane - -- — --__- _ _ -Company: Expert Shutter Services City: Naples State: FL Zip Code: 34102 Fax: Phone No.772-595-2449 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: Cailexpert@aol.com State or County License: 16572 If value of construction is $2500 or more, a RECORDED Notice or commencement is regwreo. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a , 6- Permit Number: I Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Shutter PROPOSED: IMPROVEMENT LOCATION: - Address: 1004 Shore Winds Dr #A LegalDescripYOn: CORAL COVE BEACH -SECTION ONE- BLKIWLY29.19 FT OF PARCEL MPDAF: LOT 4-LESS WLY 15.7 SLY 10 FT VAC ALLEY ADJ ON N Property Tax ID #: 14-701-0005-020-1 Lot No. Site Plan Name: Block No. Project Name: Gearhart Setbacks Front ack: x Right Side: Left Side: "•DETAILED DESCRIPTION OF ORK: ' Install 4 accordion shutters CONSTRUCTION INFORMATION:. _ Additional work to e e under ❑HVAC 0- Gas Tank Is permit - Ecka ❑Gas Piping apply: Shutters ❑ Windows/Doors ❑ Electric ❑ Plumbing []Sprinklers ❑ Generator Roof ❑ Roof pitch Total Sq. Ft of Construction: S of First Floor: Cost of Construction: $ 2,432 0 Utilities: wer ❑Septic Building Height: ,.OWNER/LESSEE: r . ; CONTRAC OR: Name James Gearhart III Name: Michael Heissenberg -Address 1004-Shoreyvinds Dr -#A- -- — ___ __ _ _Company: Expert Shutter Services City: Hutchinson Is and State: FL Zip Code: 34949 Fax: - Phone No. 772-5 2449 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. SUPPLEMENTAL CONSTRUCT!gN LIEN LAW_ INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Piece Inc. MORTGAGE COMPANY: X Not Applicable Name: Add res5: 6355 NW 36th St Suite 305 Address: City: Virginia Gardens State: FL Zip: 33166 Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: _Not Applicable 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 insn. If you inteytd to obtain financing, consult with lender or an attorney before as Agerit for Owner STATE OF FLORIDA STATE OF FLQ RIDA COUNTY Ohgl l ifI e COUNTY Off The forgoing inst ament was acknowledged ,�,efore me The forgoing instrument was acknowledged before me thij� day of i Y�YI �(Ctnti 20 Y by this day ofj!7Y1 t n r f 20-'�Z by Michael Helssentg Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature Uotary Public- State of Florida) 1(Signature(of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Produced Type of Identification Produced =III Commission Noe,aq2--Vz (Seal) __. ___ _ _ _Commission te_ Haieign Short Revised07/15/2014 o sSTATEOFFLORIDA sgzw �CommlkGG748342 � r " .,1 CoMrn#GG148342 'ifF19 Expires5125/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 1p INITIALS