HomeMy WebLinkAboutBuilding Permit Application ALL APP C I O ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��ur- Permit Number:
Mai
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'1IM0,ROVEMENT LOCATION.:
Address: 361 MELTON DR
Legal Description: RUHLMAN S/D BLK 6 LOT 4 AND W 1/2 OF LOT 5
Property Tax ID#: 3403-805-0099-000-7 Lot No.4&5
Site Plan Name: Flora Wilkerson Block No. 6
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCR'It?TION O� OR K,'"',,!
a
,
4
Install.1%Accordion shutters A0,0 (p
CONSTRUCTIONINFORMA
TION
Additional work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank Gas Piping �MGenerator
Shutters Windows/Doors
11Electric ❑ Plumbing ❑Sprinklers Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4805.00 Utilities:n Sewer Septic Building Height:
OWN'E'R/LESSEE.' CONTRACTOR:
� .
Name d!&CA LJ J (LE&O.C'i Name: Michael Heissenberg
Address:361 MELTON DR Company: Expert Shutter Services
City: Ft Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34950 Fax: City: Port St Lucie State:FL
Phone No.772-349-7246 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.
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.
4 IF
_Signatur o Owner/Lessee/ gent ySignature 6f Contractor/License/Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StLucie
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
thislcnslNt.day of v 20 f 5'by this ( `day of AlIr(,L..,r 20
Jt-
Michael Heissenbi�g Michael Heissenberg
(Name of person acknowledging) (Name of person pcknowledging)
!�9 I
4 (Signature of Notary Public-State of Florid ) (Signature of Notary Public-State f lord )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO H R VIZZO
t
Commission No. (S�$ARYPUBLIC Commission No. tAR rTAR
g _STATE OF FLORIDA @� PUBLIC
Y
STATEOF FLORIDA
CE 1� Ex ares 11/1312018 's� Comm#FF176266
Revised 07/15/2014 p yee tet Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS