HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� �J Permit Number:
RECEI"7D APR 2 81015
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
P.ROPOSED'IIVIPROVEME'NT LOCATION
Address: 4949 N Al Apt 224 Fort Pierce, FL 34949
Legal Description: BREAKERS LANDING UNIT 224(OR 1369-554)
Property Tax ID#: 1414-602-0091-000-6 Lot No.
Site Plan Name: Block No.
Project Name: William Wheeler
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF,WORK
w.,
Install 5 Accordion, 2 roll up, and 1 storm panel shutters
"111 14;vjh
tONST RUCTION INFORMATION
Additional work to a Derformed un er t is permit—check a appy:
HVAC Ei Gas Tank
—]Gas Piping Shutters ❑11 Windows/Doors
Electric ❑Plumbing []Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 4996.00 Utilities:n Sewer Septic Building Height:
OWNER/LESSEE ;';;CONTRACTOR:
Name William Wheeler Name: Michael Heissenberg
Address:4949 N A1A Apt 224 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 Coder 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail`��%. ui( i{'O�C���—(i ��. C
from the Owner listed above) State or County License'CE-2? 6 S212
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.CONSTRUCTION,LCEN,LAW INFORMATION:.: f
DESIGNER/ENGINEER: X_Not Applicable MORTGAGE COMPANY:t X Not Applicable
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 thepermit 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 intEod to obtain financing, consult with lender or an attorney before
commencing work c din o otice of CommeUement.
s
_Signature of Owner/Lessee/AgeSignature of Contractor/ 'c nse Hg 1 r
STATE OF FLORIDA STATE OF FLORIDA f/
COUNTY OF St Lucie COUNTY OF StLucie
The forgoing instru Hent was acknowledged before me The forgoing instrument was acknowledged before me
this Z&Nday of .l 20 13by this Z qday of &P 4 ( 20 5 by
Michael Heisse4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
Q 'V
(Signature of Notary Public-State of Flor' ) (Signature of Notary Public-State of ri )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VQM HEATHER
Commission No. MPTARY PUBLIC Commission No. * I, Y PUBLIC
STATE OF FLORIDA S STATE OF FLORIDA
6266
Revised 07/15/2014 Expires 11/13/2018 1 , Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS