HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: Permit Number:
C;.
Building Permit Application AUG 3. 2015
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 g ,Lucie County,FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
P.ROP:QSED IIVIPROVEMENT:LOCATION:
Address: 2707 N AlA D 2707
Legal Description: CORAL COVE BEACH-SECTION ONE-BLK 7 S 10.75 FT OF LOT 6 AND N 5.91 FT OF LOT 7 AND E 10 FT VAC ALLEY ADJ ON W(APT 2707-D)
Property Tax ID#: 1425-701-0167-330-0 Lot No.
Site Plan Name: Janet J Chermaz Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
,bETILED`OESCRIPTIO' F 1NORK
n,
Install 1 Accordion shutter
CONSTRUCTION INFORMATION ,
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Additional work to be nertormed under t Ispermit—check all appy:
HVAC Gas Tank []Gas Piping /�_Shutters Windows Doors
L�l
11 Electric 0 Plumbing Sprinklers I Generator 11 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: X59 3 s- Utilities:_Sewer Septic Building Height: 30'
OWNER/LESSEE: CONTRACTOR
Name Janet J Chermaz Name: Michael Heissenberg
Address:81 VENTURA DR ST Company: Expert Shutter Services
City: St Catharines State:ON Address: 162&SW Biltmore St
Zip Code: L2R 7113 Fax: City: Port St Lucie State:FL
Phone No.905-933-0545 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 INF RMATIONH
x
DESIGN ER/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 work or recording our Notice of Commencement.
A..I/ _144
Signatu f Owner/Le ee/Agent
*ignature of Contractor/Licens Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The orgoing instru ent was acknowledged before me The fg-r�oing instrument was acknowledged before me
this day of 20 /�by this 9clay of sr 20/6' by
Michael Heissenb&g Michael Heissenberg
(Name f person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florid '(Signature of Notary Public-State of F iclgf
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
THER MZZ t HEATHER Vi2ZO
Commission No. Seo NOTARY PUBLIC Commission No. r sN6%4JPUBLIC
TATE O-FLORIDA °� STATE OF FLORIDA
Go—
Comm#FF syN 10
Revised 07/15/2014 W%welsiq
Expires 1111312018 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS