HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �y�
Date: � Permit Number: I J �:.J�
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RECEIVED
Building Permit Application
Planning and Development Services AUG 1 2015
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 IIVIP.ROVEMEVT"IOCAT-IiUN.',
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Address: 1686 NW Buttonbush CIR
Legal Description. HARBOUR RIDGE-PLAT 19-TALLOWOODVILLAGE LOT 9
Property Tax ID#: 4426-840-0010-000-3 Lot No.9
Site Plan Name: Christopher B Campbell Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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D:ETAIL"ED DESCRIP_TibN7OF WORK:
Install 15 Accordion shutters
CONSTRUCTION INFORMATION v'a
Additional work to be nertormed under t ispermit—check all t a Dp Dpl y:
HVAC Gas Tank Gas Piping �OGenerator
Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 10,356.00 Utilities:cn Sewer Septic Building Height: 201
OWN'€R/LESSEES =COIVTRACI'OR": .
Name Christopher B Campbell Name: Michael Heissenberg
Address: 1686 NW Buttonbush Circle Company: Expert Shutter Services
City: Palm City State:FL Address: 1626 SW Biltmore St
Zip Code: 34990 Fax: City: Port St Lucie State:FL
Phone No.847-460-8688 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@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.
SUPPL'EMENTALCONSTRUCTI;ON 'LI`EN W INFORMATIQN"`"
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.
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_Signature df 0 ner/Lessee/A ent Signature of Co tra or/License Hot&
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie CO U NTY OF St Lucie
The fo going instr ent was acknowledged bre me The forgoing instrument was acknowledged before me
this►�Wday of rsc 20 by this 0-day of 20 J!C by
Michael HeissenbAM Michael Heissenberg
(Name of person ackno ledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida W(Signature of Notary Public-State of FI r' a
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 0HCTa
T VIZZO Commission No. ,�d� 1HATVER VIZZO
N71RY PUBLIC VARYPUBLIC
STATE OF FLORIDA _STATE OF FLORIDA
Revised 07/15/2014 4Expires 11/13/2018 iy t Ie 822
Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS