HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: $` 1) \ �5 Permit Number:
RECEIVED AUG 1-1 201
XTO�i W 0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
PROPOSED IIVIPROUEME,NT LQCATIQN E h r
Address: 625 Paurotis Ln
Legal Description: PALM.GROVE S/D BLK L LOT 18
Property Tax ID#: 3410-503-0356-000-2 Lot No.18
Site Plan Name: Timothy W McGuire Block No. L
Project Name:
Setbacks Front Back: Right Side: Left Side:
Q�ETAILED DESCRIPTION OF WORK ' '''
Install 5 Accordion shutters
:CONSTRUCTION IN;FOR(VIATION s
Additional work toe e orme under this permit—check a apply:
❑HVAC E]Gas Tank Gas Piping WShutters ❑Windows/Doors
❑Electric U Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1450.00 Utilities:Sewer Septic Building Height: 200'
01NNER/L`ESSEE CONTRACT
OR '`
P"
Name Timothy W McGuire Name: Michael Heissenberg
Address:625 Paurotis LN 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.920-309-0818 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
b
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 the permit 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 rd
ing yourAtice of Commencement.
` S
Signature of Owner/Lessee/Agent ✓Signature of Contractor/Licen Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrun ent was acknowledged before me The forgoing instrument was acknowledged before me
this`�w* day of 20 lI rby this 'eOday of 20 1�by
Michael Heissen4rg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State f or d ) (Signature of Notary Public-State of F id
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VI7Z0
Commission No. NOTARY-4IBLIC Commission No. H VIZZO
STATE OF FLORIDA NOTARY PUBLIC
oemfM IFF!76266 STATE OF FLORIDA
Revised 07/15/2014• AeR° Expires 11/13/2018 �. Comm#FF
e 9 Expires 11/1312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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