HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOc MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: R�I`I L7 Permit Number:
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�`IMPR`OUEMENNT,LOCATION
Address: 1317 COPENHAVER RD
Legal Description: 13 35 39 FROM NE COR OF NW 1/4 RUN S 1056 FT FOR POB,TH W 307.43 FT,TH S 157 FT,TH E 307.41 FT,TH N 157 FT TO POB
Property Tax ID#: 2313-214-0003-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Dorothy H Harrington
Setbacks Front Back: Right Side: Left Side:
r.:°,..
O'ETAILED DE
SCRIPTIOUOF WORK
3 r,
Install 14 Accordion shutters
`CO`NSTRUCTI',' INFORMATION
Additional work toe nertormed un d er this permit—check aMShutters
appy:
HVAC1:1 Gas Tank Gas Piping Windows/Doors
❑Electric 1:1 Plumbing ❑Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7785.00 Utilities:Sewer Septic Building Height:
OWNER/LES'SEE CONTRACTOR 'S
q
Name Dorothy H Harrington Name: Michael Heissenberg
Address: 1317 COPENHAVER RD Company: Expert Shutter Services
City: Fort Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34945 Fax: City: Port St Lucie State:FL
Phone No.772-538-6170 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:
.x
DESIGNER/ENGINEER: _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 ork or recording our Notice of Commencement.
s
Signatu a of Owner/Lessee/ gent y-' i nat re of o ractor/License Hf Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF StLucie COUNTY OF StLucie
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I� ay of 20 Eby this qday of�fitr.e.ya� 20 by
Michael Heissenbirg Michael Heissenberg
(Name of person acknowledging) (Name of p son a nowledging)
2
Y (Signature of Notary Public-State of Flo d (Signature of Notary Public-State o F rid
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
NBATHER VIZZO
Commission No. CHER VIZZO Commission No. NpUBLIC
NOTARY PUBLIC � ,., 16TATE OF FLORIDA
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Revised 07/15/2014 i1/13m18
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS