HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA22BLLE�E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Tnn j f
Date: "Jl� Permit Number:
m "
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
,RROPOSED';IMPROVEMENT'LOCATION °
Address: 9690 Fairwood Ct Port St Lucie, FL 34986
Legal Description. FAIRWAY LANDINGS PARCEL 9 LOT 8(OR 3666-361)
Property Tax ID#: 3322-500-0012-000-0 Lot No.LOT 8
Site Plan Name: Block No.
Project Name: Edsel Billingy
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF"WORK. r` h "
Install 6 Accordion shutters
APR 3 0 2015
p
. ;.
CONSTRUCTION`°INFORII/IATION:, sf Lucie,county,F�
Additional work to fi
orme un er t is permit—c ec a appy:HVAC Gas Tank E]Gas Piping LIL Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 3500.00 Utilities:Cn Sewer O Septic Building Height:
OVI/NE'R/LESSEE:"` "CONTRACTOR:
Name Edsel Billingy Name: Michael Heissenberg
Address:9690 Fairwood Ct Company: Expert Shutter Services
City: Port St Lucie State:FIL Address: 1626 SW Biltmore St
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34984 Fax:-171-► i3T 1 •0?10
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-MaiL•C�ll Ftp
Q Avl .
from the Owner listed above) State or County License:()to 5 7 2-
if
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SOPPLEMENTAL.CONSTRUCTION LIEN-LAW INFORMATION:
DESIGN ER/ENGINEER: _Not Applicable MORTGAGE COMPANY: 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 inspect' n. If you inten o obtain financing, consult with lender or a attorney before
commencing wor rec r our tice of Commencement.
s
_Signature of Owner/Lessee/AgentSignature of Contractor/Lic e er`�
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY O F St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisZq�day of 20 Eby thisZgkLday ofA6?r-, 20 by
Michael Heissenb4rg Michael Heissenberg
(Name of persona nowledgingg)) (Name of person acknowledging)
C —V
(Signature of Notary Public-State of FI 'd (Signature of Notary Public-State ofri )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO
Commission No. HFATyER V12ZO Commission No. ( YPUBLIC
NOTARY PUBLIC — STATE FRIDA
STAM OF FI ORIDA
Comm#FF176266 v: irst11/13/2018
Revised 07/15/2014Vow- Expires 11/13/2018 � ��i
vu; f.+ted
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 8) fLT41)g ,MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS