HomeMy WebLinkAboutBuilding Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ISO SO
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 Residential X
PERMIT APPLICATION FOR: Shutter
R::ROPOSED.J M PROVEM E`NT:LOCATION
Address: 8916 One-Putt PL
Legal Description: POD 33 AT THE RESERVE PHASE 1 KINGSMILL LOT 16
Property Tax[D#: 3334-500-0027-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Gregory Woodland
Setbacks Front Back: Right Side: Left Side:
Q'ETAILED DE=SCRIPTIO,N`OF WORK ''' �' � % ° `°'
,3
Install 7 Accordion shutters and 1 Storm panel opening
CON5TRl1CTCON INFORN�ATION x
Additionalwork toa nerformed un er t is permit—check a appy:
❑HVAC Gas Tank Gas Piping �_Shutters Windows Doors
11 Electric 0 Plumbing []Sprinklers ❑Generator F] Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4497.00 Utilities:Sewer Septic Building Height:
CtWNER/LESSEE J CQNTRACTOR: . .
Name Gregory Woodland Name: Michael Heissenberg
Address:8916 One-Putt PL Company: Expert Shutter Services
City: Port St Lucie State:FL Address: 1626 SW Biltmore St
Zip Code: 34986 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: callexpert@aol.com
from the Owner listed above) - State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:—
DESIGNER/ENGINEER: X—Not ApplicableMORTGAGE COMPANY: _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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Age t Signature of Contractor/License Hold r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Luaie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged b,elore me
this ay of 20 J�%y this day of 20 1 by
Michael Heissenbi�g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flpyi'da V(Signature of Notary Public-State of Fldr'da
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ( THER V12ZO Commission No. H"IRR VIZZO
NOTARY PUBLIC NOTARY PUBLIC
Comm#FF176266 OF Comm#FF t-LOKI
DA
Revised 07/15/201476266
t Expires 11/13/2018 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS