HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: `A Permit Number:
RECER ID APR'2 8 2015
ii _101 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 Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 4949 N Al Apt 41 Fort Pierce, FL 34949
Legal Description: BREAKERS LANDING UNIT 41 AND GARAGE UNIT 3 (OR 1301-554)
Property Tax ID#: 1414-602-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Raymond Ferrucci
Setbacks Front Back: Right Side: Left Side:
Install 1 Roll up, and •1 storm panel shutters
tONSTRUCTIOxN INFORMATION: '
Additional work toe e orme under t —checkispermit a appy:
HVAC Ei Gas Tank ❑Gas Piping I Shutters Windows/Doors
11 Electric ❑Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 985.00 Utilities:cn Sewer 0Septic Building Height:
;QW N ER/LESSEE �� �.CO NTRACTOR:
Name Raymond Ferrucci Name: Michael Heissenberg
Address:4949 N Al Apt 41 Company: Expert Shutter Services
City: Fort Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different, E-Mail:0 l-a CC.- f,95wz�'rel nevem
from the Owner listed above) State or County License: 6 7.74
6
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP PLEMENTAL:CONSTRUCTION LIEN LAW INFQRNIATIONu
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DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: wa —Not Applicable . F
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 to obtain financing, consult with lender or an attorney before
commencing work or rec n otice o ommencement.
49- s
_Sig ture of Owner/Le see/Agent bf 0 Signatre of Contractor/License Hol rNll�y
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF St Lucie COUNTY OF-st Lucie
The for oing instrument was acknowledgedbefore me The forgoing instrument was acknowledged before me
this' day of Ae 2004 by this day of_ Ae""k 20 0:5' by
Michael Heissenbt�g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
aaa]L �
(Signature of Notary Public-State o For ) (Signature of Notary Public-State of F ri )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
(oa(p THER VIZZO HER V=
Commission No. Y Commission No.
(NO qRY PUBLIC (�� Y PUBLIC
STATE OF FLORIDAaWlExpires'll/113/20118
STATE OF FLORID
Comm
Revised 07/15/2014 '/QE 1s�e Expires 1111312018 (
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS