HomeMy WebLinkAboutBuilding Permit Application ALL APPTB E INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � Permit Number:
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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
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATItN
, e
Address: 5101 Birch Dr
Legal Description: INDIAN RIVER ESTATES-UNIT 07-BLK 50 LOT 24
Property Tax ID#: 3402-608-0372-000-7 Lot No.24
Site Plan Name: Timothy S Wile Block No. 50
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE `GRIFTION OF WORKv ` c4 c ,
a.�, ^, �:
Install 11 storm panel openings
CONSTRUCTION.'INFORMAT10 N-
Additional work to be nprtormed under this permit—c ec all apply:
HVAC Gas Tank []Gas Piping V Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers I Generator 11 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2552.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name Timothy S Wile Name: Michael Heissenberg
Address:5101 Birch Dr Company: Expert Shutter Services
City: Ft Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34982 Fax: City: Port St Lucie State:FL
Phone No.772-834-4757 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.
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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 recording yowrNotice of Commencement.
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Signature of Owner/Lessee/Agent Signature of Contractor/License der
7
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF StLucie COUNTY OF StL.Ge
The forgoing instru gent was acknowledged before me The forgoing instr ment was acknowledged before me
this 114.day of 20 l�by this(7�day of 20 125"'by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of FI a) (Signature of Notary Public-State of or' a)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
AR HEATHER VIZ1PX THER VITZO
Commission No. � YPUBLIC
ORIDA Commission No.
_ NOTAR �LIC
o _STATE OF FL � =STATE OF FLORIDA
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Revised 07/15/2014 I 16M
iN�F ts�0 Eacpires 11/13/2018 a Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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