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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: /s-v?-03 7 / RECEIVED Building Permit Application Planning and Development Services AUG 2 5 -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 PROPOSEDJMPROVEME'NT LOCATION Address: 5406 Palmetto Dr Legal Description: INDIAN RIVER ESTATES-UNIT 05-BLK 22 LOT 3 AND INDIAN RIVER ESTATES-UNIT 06-BLK 22 LOT 4 Property Tax ID#: 3402-606-0062-000-5 Lot No.3&4 Site Plan Name: Mark L Goodrich Block No. 22 Project Name: Setbacks Front Back: Right Side: Left Side: >DETAILED DESCRIPTION""()F 1IILORK. Install 1 Storm Panel opening. CONSTRUCTION INFORIVIATION r zs a Additionalwork ,toe e orme under this permit—check a apply: ❑_HVAC Ei Gas Tank Gas Piping �MGenerator Shutters Windows Doors Electric 0 Plumbing ❑Sprinklers Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 417.00 Utilities:cnSewer Septic Building Height: OVIINER/LESSEE:` CONTRACTOR:. Name Mark L Goodrich Name: Michael Heissenberg Address:5406 Palmetto 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.772-464-2237 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-CONSTftUCTIONmLI`E'N LAIN INFORMATION.`, ` "° g 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 inspectio you intepd to obtain financing, consult with lender or an attorney Jnpfore commencing work or rec ou otice of Commencement. s _Signature of Owner/Lessee/Agent Signature of Contractor/Li ense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie COUNTY OF StLucie The forgoing instrt was acknowledged before me The forgoing instrument was acknowledged before me thisTW"^du en ay of 20%r by thisZDK day of 20 1 V by Michael Heissenb&rg Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) — 10 (Signature of Notary Public-State of Flo I ) (Signature of Notary Public-State or' ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced =ATNER VIZZO Type of Identification Produced HEATHER VIZZO NOTARY PUBLIC NOTARY PUBLIC Commission No. TE OF FLORIDA ATE OF FLORIDA Commission No. Comm*FF176266 0 Comm#FF176266 B10wiFes 111131901&— Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 1626 S.W. BILTMORE ST ESS EXPERT PORT ST LUCIE, FL 34984 SHUTTER SERVICES WC. (772) 871-1915 (800) 749-9056 "We're Taking The Shutter Industry By Storm" FAX (772) 871-0990 1ING INFORMATION DATE JOB INFORMATION MARK GOODRICH 8/12/2015 MARK GOODRICH 5406 PALMETTO DRIVE DEVELOPMENT 5406 PALMETTO DRIVE FORT PIERCE, FLORIDA 34982 PRIVATE HOME FORT PIERCE, FLORIDA 34982 ® 772-464-2237 • OWNER ® ® - - • 00 1, 1 69'X 88" ENTRY DOORS, BRONZE, MILL PANELS $417 SPECIAL INSTRUCTIONS TOTAL $417 SHUTTERS MEET ALL LOCAL BUILDING CODES APPROX. DELIVERY 6-8 WEEKS FIVE YEAR WARRANTY FOR PARTS AND LABOR(SEE WARRANTY INFORMATION). DEPOSIT $139 SHUTTERS MUST BE'MAINTAINED PROPERLY(SEENAINTENANCE INFORMATION). 120 PRICE, INCLUDES,ALL MATERIAL, LABOR,INSTALLATION, BUILDING PERMIT AND TAX BALANCE $278 REPRESENTATIVE DATE PURCHASER TOM FLAGG WWW.EXPERTSHUTTERS.COM