HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: 5 Permit Number: 5 E> d SL I
= . �°' � MAY 19-205
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
PROPQSED,IMPROVEMENT LOCATIQN:
Address: 5420 CASSIA DR
Legal Description. INDIAN RIVER ESTATES-UNIT 09-BLK 72 LOTS 10 AND 11
Property Tax ID#: 3402-610-0068-000-0 Lot No.10& 11
Site Plan Name: Block No. 72
Project Name: Claudia Hessee
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION+OF WORK ,
Install 15 Storm panel openings and 2 Bahama shutters
CONSTRUCTION INFORMATION
Additionalwork to e Pertormed under this permit—check all appy:
❑HVAC Gas Tank Gas Pi in _Shutters Windows Doors
❑ p g ❑ /
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 3757.00 Utilities:cn Sewer[]Septic Building Height:
OWN€R/LESSEE. ,` CONTRACTOR:
Name Claudia Hessee Name: Michael Heissenberg
Address:5420 CASSIA DR Company: Expert Shutter Services
City: Fort Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34982 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.
SUPPLEoMEN`"'ENT CQNSTRU.CTION LIEN LAW INFORMATION,: = .
m�
DESIGNER/ENGINEER: X 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin wok or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contr ctor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged be me The forgoing instrument was acknowledged before me
this
(AK of )6! cp ( 20!by this( day of Y`^!J 20 I by
Michael Heissenbtrg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
gia)-m
(Signature of Notary Public-State of FloK (Signature of Notary Public-State of Flori' )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced EA-HER1AZZ-0 Type of Identification Produced
y` NQTARY PUBLIC
Commission No. -• ATE OF FLORIDA Commission No. y (*FATHER VIZZO
Y; ', Comm#FF176266 NOTARY PUBLIC
INCE-wINUE—w Expires C.ATE OF FLORIDA—
omm#FF176266
Revised 07/15/2014 ts�� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS