HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��u° /� Permit Number: , 5 — Ci I a�
RECEIVED JUL 081015
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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: 227 River Walk 14
Legal Description. RIVERWALK AT SANDS UNIT 14
Property Tax ID#: 1425-566-0014-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Clifford C Wassel
Setbacks Front Back: Right Side: Left Side:
=DETAILED DESCRIPTION OF-WORK
Install 10 Accordion shutters and 2 storm panel openings
CONSTRUC TION"INFORMATION
Additional worms toa er orme under this permit—check a appy:
HVAC E]Gas Tank Gas Piping Shutters Windows Doors
❑Electric 0 Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5150.00 Utilities:Sewer OSeptic Building Height:
=OWNER/LESSEE =,x.
'CONTRACTOR:
Name Clifford C Wassel Name: Michael Heissenberg
Address:227 River Walk 14 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: 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 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
commencing work or recording our Notice of Commencement.
(. s
_Signature d Owner/Lessee/Ag nt Signature of Co tractor/License Hol er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me Theforgoing instrument was acknowledged before me
this day of —�r•�./ 20 t'"by" this 9day of %I20 ) by
A 4 , �NL�
Michael Heissenb�rg Michael Heissenberg
(Name of person acknowledge g) (Name of person ac nowledging)
,F` �'
_Ja
(Signature of Notary Public-State Wlpjrda) (Signature of Notary Public-St.We&floricla)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
o�N 'TAY PUBLICr, HEATHER VIZZO
Commission No. e a Commission No. f�B4��YPUBLIC
a4 S AT OF FLORIDA a` _STATE OF FLORIDA
. Comm#FF176266
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PNCE�s� Expires 111/11312015
Revised 07/15/2014 IRE isW Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS