HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED // p �*�
Date: �' » Permit Number: /S� 0` V
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Building Permit Application
AUG 2 5 2095
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
'f?'ROPOSED IMPROVEME`NTILOCATIO�N f` = ,� , t;' R ,°,4°
Address: 2985 Conifer Dr
Legal Description. MONTE CARLO COUNTRY CLUB-UNIT TWO-LOT 191
Property Tax ID#: 1334-502-0072-000-5 Lot No.191
Site Plan Name: William B Tiernan Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED,°DESCRIPTIOIND
FWORK .
Install 15 Accordion Shutters
CONSTRUCTION INFORMATION
Additional work to be nertormed under this permit—check kall appy:` �
❑_HVAC Gas Tank V( ❑Windows Doors❑Gas Pi in Shutters
Electric ❑Plumbing ❑Sprinklers OGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7688.00 Utilities:Sewer 0 Septic Building Height:
,W,N'ER/LESSEE. a t�.'CONTRACTOR
Name William B Tiernan Name: Michael Heissenberg^
Address:4530 Yorkfield Ct Company: Expert Shutter Services
City: Westlake Village State:CA Address: 1626 SW Biltmore St
Zip Code: 91361-4319 Fax: City: Port St Lucie State:FL
Phone No.954-549-6064 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 LIENLAW 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 obtain financing, consult with lender or an attorney before
commend g work,9rPe'c- rdir1gyour N ce of CommencernerIt.
!! `J s
-Signature of Owner/ ssee/Agent Sig ture of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFStLucie COUNTY OFStwcle
The forgoing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
thisZ81-day of -er 20%*<by thisZe*k day of �r 20 (' by
Michael Heissenb�rg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
`(Signature of Notary Public-State of Flo i ) v(Signature of Notary Public-State of rid
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO ��p HEATHER VI720
1
Commission No. (%1ARY PUBLIC Commission No. N(� Y PUBLIC
a _STATE OF FLORIDA a -STATE OF FLORIDA
LAX_- FF176'Afi
Revised 07/15/2014 V I ENI Expires 1111312018 "VE iV' Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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