HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'__J I#�W
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED
BY
Permit Number: Ib la ` 6`7
St. Lucie Countyo
Building Permit Application 9 °
Planning and Development Services
CO
Building and Code Regulation Division od
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROVEMf'LOCA7IQN,,r="'*°`^-'
REPOSED`IIfl
Address: 6100 Orange ave
Legal Description: 1235 39 E 130 FT OF E 1/2 OF SE1/4 OF SW 114 OF NE 114-LESS N 30 FT AND LESS S 33 FT AND LESS 1-95R/W AS IN OR 245-2538-
Big Johns Feed Store.
Property Tax ID #: 2312-134-0001-000-3
Lot No.
Site Plan Name:
Block No.
Project Name: Crouch
Setbacks Front Back: x Right Side: x
Left Side:
D, LED'Df-S,'4 IPTIONgOF WORK: x ;'
„�
Install 3 accordion shutters
CON5TRtJCTIQNJNFORttIATION _q
g k
r
rtiona wor tc e orme un ert Ispermit —c
ec a
apply:
EjHVAC - Gas Tank Gas Piping
Shutters
❑ Windows/Doors
11 Electric ElPlumbing Sprinklers
D Generator
Roof
Roof pitch
Total Sq. Ft of Construction:
S
Ft. of First Floor:
Cost of Construction: $ 6,588.00 Utilities:cn
Sewer ElSeptic
Building Height:
0W, R/LESSEE:
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*CONTR4CIOR:
Name Clyde And Sandra Crouch
Name: Michael Heissenberg
Address: 6100 Orange Ave
Company: Expert Shutter Services
City: Fort Pierce State: �L
Zip Code: 34947 Fax:
Phone No. 772-461-7712
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
IT Value oT construction Is >LOuu or more, a RtCURUtU Notice of commencement is required.
V_J''``
5UPPLEIVIENTALCONSTRIICTION LIEN LAW INFORMATION'S
AA
DESIGNER/ENGINEER:
Name: Tiltecolnc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Court 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 inspecoo"f yW intend to obtain financing, consult with lender or an attorney before
commencine work o ecor/r rdl-ngkour Malice of Commencement. o
as
STATE OF FLORIDASTATE OF FLORIDA
COUNTYOF,Z�rlt- i. "C 14 1 COUNTY OF gl— l
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of tJDVP rY1 IDz it 20 t by this 30 day of k. _xvlbPX . 20 �J_ by
Michael Haissenbig Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
State of Florida )
of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. C4i IQZ3LIZ I Halelgh Short Commission No. GaG-r I U n4Z (Seal)
NOTARY PUB IC
Halfth shoo
Comn# GG148342 s NOTARY PUBLIC
Revised 07/ 15/2014 E Expires 5/25/2021 STATE OF FLORIDA
REVIEWS
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SUPERVISOR
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